Since so many are anxious to get their application in, and we want to get things set up so that the new members can participate in the planning and formation stages, we have created a basic membership application that should do for now.
Just copy and paste the text below into a text editor/ word processing program, adjust the formatting if necessary, print, fill out, sign and send it in.
>>>>>_________________________________________________________<<<<<
The Fellowship of the Cosmic Mind, Institute of PaleoChristianity.
Application for Membership
Last name:____________________________________________________________
First name:___________________________________________________________
Maiden Name:_________________________________________________________
Date of Birth:_________________ Place of birth:____________________________
Gender: Female_______ Male________
Current Address:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Home Phone:______________ Work Phone :______________________
Cell Phone :__________________________
E-Mail:_____________________________
Education:______________________________________________________
_______________________________________________________________
Occupation:______________________________________
Employer:_______________________________________
Marital Status: Single:____ Married:____
Divorced:_____ Widowed:_____
Number of times married:___________ and/or Long term relationships:_______
Religions/Churches previously attended & associated (name of church & city/state/country):
______________________________________________________
_____________________________________________________________________
Family Members in Your Current Household
Name Relationship Birthdate
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
(Write on the back if there are not enough spaces to list all)
What way(s) do you desire to serve within our Fellowship (based on your interests, abilities, gifts, and time)?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
When and how did you come to know of The Fellowship of Cosmic Mind?
_____________________________________________________________________
_____________________________________________________________________
I have access to the Articles of Incorporation and Statement of Principles of the Fellowship of the Cosmic Mind and am in full agreement with them in both word and spirit. As a member of this Fellowship, I will abide by these documents, and will endeavor to fulfill my responsibilities to this work to the best of my abilities.
Printed Name of Applicant: ________________________________________________________
Signature ___________________________________________________________________
Date ______________________________ Place Signed________________________
Please return this completed application to:
The Fellowship of the Cosmic Mind
C/O Quantum Future Group, Inc.
P.O. Box 4322
Boulder, CO 80306
********************************************************************
Office Use Only
Interview by Admission Team, if any ____/____/____
Elder Team Recommendation:
Just copy and paste the text below into a text editor/ word processing program, adjust the formatting if necessary, print, fill out, sign and send it in.
>>>>>_________________________________________________________<<<<<
The Fellowship of the Cosmic Mind, Institute of PaleoChristianity.
Application for Membership
Last name:____________________________________________________________
First name:___________________________________________________________
Maiden Name:_________________________________________________________
Date of Birth:_________________ Place of birth:____________________________
Gender: Female_______ Male________
Current Address:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Home Phone:______________ Work Phone :______________________
Cell Phone :__________________________
E-Mail:_____________________________
Education:______________________________________________________
_______________________________________________________________
Occupation:______________________________________
Employer:_______________________________________
Marital Status: Single:____ Married:____
Divorced:_____ Widowed:_____
Number of times married:___________ and/or Long term relationships:_______
Religions/Churches previously attended & associated (name of church & city/state/country):
______________________________________________________
_____________________________________________________________________
Family Members in Your Current Household
Name Relationship Birthdate
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
(Write on the back if there are not enough spaces to list all)
What way(s) do you desire to serve within our Fellowship (based on your interests, abilities, gifts, and time)?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
When and how did you come to know of The Fellowship of Cosmic Mind?
_____________________________________________________________________
_____________________________________________________________________
I have access to the Articles of Incorporation and Statement of Principles of the Fellowship of the Cosmic Mind and am in full agreement with them in both word and spirit. As a member of this Fellowship, I will abide by these documents, and will endeavor to fulfill my responsibilities to this work to the best of my abilities.
Printed Name of Applicant: ________________________________________________________
Signature ___________________________________________________________________
Date ______________________________ Place Signed________________________
Please return this completed application to:
The Fellowship of the Cosmic Mind
C/O Quantum Future Group, Inc.
P.O. Box 4322
Boulder, CO 80306
********************************************************************
Office Use Only
Interview by Admission Team, if any ____/____/____
Elder Team Recommendation: