Affiliation - Men of Issachar

Password(*)

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Affiliation and Change of Information Form (International)

IMPORTANT: Please help us keep our records current by filling out this form every time there is a change of Leader information, making sure each Leader’s name of your MOI Group is listed. A position left blank will mean there is no Leader filling that position. A new Change of Information form should be completed and sent with the approved Leadership Questionnaire when there are changes. All required fields must be completed before submitting form (*). Thank you!

Please list the name of your Aglow National Leader who has referred your group for affiliation.(*)

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Name of city/nation(*)

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Form Type(*)

New Affiliation with Aglow International

MOI Leadership Change of Information

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Group Type

Community Group

Target Group

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Aglow ID#

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Note: A Target Group includes but is not limited to: Growth and Enrichment; Prayer; Evangelism/ Transformation; Service; Friendship and Mentoring

Describe the type of Men of Issachar Group you are starting:

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Meeting Place Information

Meeting Place

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City, Nation, Post Code

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Meeting Address

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Day of the week meeting

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MOI Leader/Faciliator

Check all that apply

New leader

New Address

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Address

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Denomination

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MOI Leader / Facilitator Name:

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Phone

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(Please note which Co-Leader will handle the MOI Finances for Community Groups)

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Co-Leader

Check all that apply

New leader

New Address

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Address

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Phone

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Co-Leader / Facilitator Name:

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Denomination

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Co-Leader

Check all that apply

New leader

New Address

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Address

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Phone

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Co-Leader / Facilitator Name:

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Denomination

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Co-Leader

Check all that apply

New leader

New Address

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Address

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Phone

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Co-Leader / Facilitator Name:

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Denomination

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Comments

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Resources

Aglow Expedited Affiliations

Affiliation and Change of Information Form (International)

Meeting Place Information

MOI Leader/Faciliator

Co-Leader

Co-Leader

Co-Leader