Blessing Interview Form

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1  
Blessing   I nterview   F orm  
Blessing   &   F amily   M inistry,   F FWPU-­‐USA  
 
_      
  _ _______________  
Applicant   N ame
( last,   f irst)   _ ________________________________________
  D ate
This   B lessing   i nterview   a nd   c onfession   i s   d esigned   t o   h elp   y ou   l eave   y our   p ast   c ompletely   b ehind   y ou,   r eceive  
the   f orgiveness   a nd   g race   o f   G od   a nd   T rue   P arents,   a nd   e nter   t he   B lessing   w ith   a   p ure   h eart.   Y our   B lessing   i s   a  
serious   c ommitment   a nd   a   n ew   b eginning,   a nd   s hould   h ave   n o   s ecrets.   F ull   d isclosure   o f   p ast   p roblems   i s  
helpful   f or   y our   p ersonal   r enewal,   a nd   t o   m ake   t he   c ondition   t o   r eceive   G od’s   f orgiveness   w e   n eed   t o   r eport  
honestly.   B ecause   G od   i s   i nvisible   i t   i s   i mportant   t o   c onfess   t o   a   p hysical   r epresentative   o f   G od.     A nswer   t he  
following   q uestions   h onestly   a nd   i n   d etail.   T he   c ontent   o f   y our   c onfession   w ill   r emain   c onfidential   w ith   y our  
th
interviewer.   P ages   1   -­‐   3   w ill   s tay   w ith   y our   i nterviewer,   a nd   o nly   t he   4
  p age   o f   s ignatures   w ill   b e   u ploaded   t o  
your   a pplication.   Y our   i nterview   w ill   b e   d estroyed   o nce   y ou   a re   B lessed.    
For   m ore   s pace,   a ttach   a dditional   p ages   a nd   m ake   n ote   o f   t he   q uestion   y ou   a re   c ontinuing   t o   a nswer.  
 
1.   B lessing:
 
     
 
 
 
Explain   w hat   y ou   f eel   i s   t he   m eaning   a nd   v alue   o f   t he   B lessing,   a nd   w hy   y ou   f eel   r eady   t o   m ake   a n   e ternal  
commitment   t o   y our   f uture   p artner:    
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________  
2.   S exual   I ssues:  
A.   D id   y ou   e ver   e ngage   i n   s exual   i ntercourse   o utside   o f   m arriage?   -­‐ -­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐       N o                     Y es  
If   “ Yes”   e xplain   f ully,   i ncluding   h ow   o ften,   w hen   w as   t he   l ast   t ime,   a nd   w ith   w hom   ( name   n ot   r equired).              
Was   i t   a   f riend,   c lassmate,   c hurch   m ember,   e tcetera?  
_____________________________________________________________________________
_____________________________________________________________________________  
_____________________________________________________________________________
_____________________________________________________________________________  
___________________________________________
 
  D ate   o f   l ast   t ime   _ ________________________
 
Ver:   J anuary   1 8,   2 014;   K eep   o riginal   w ith   i nterviewer   o r   l ocal   B FM.   U pload   s ignature   p age   o nly   w ith   o nline   a pplication.  
Destroy   o riginal   a fter   a pplicant   i s   B lessed.

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