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.