Fatherhood Impact Award Application (2024)
This form is for Revive Church regular attenders to nominate another Revive Church regular attender who exemplifies God-honoring fatherhood.

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Your Full Name
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Your Email
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Do you regularly attend Revive Church?
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Who would you like to nominate for the Fatherhood Impact Award? (Must be a Revive Church regular attender; include first and last name.)
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Please include an email address or phone number of the nominee.
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In a few sentences, why are you nominating this man for the Impact Award at Revive Church?
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Does he show these qualities in his life?
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Always
Often
Sometimes
Occasionally
Rarley
Honors His Wife
Trains His Children
Does Not Abandon His Family
Loves the Gospel and the Church
Respects Authority
Assumes Responsibility
Exhibits Godly Character
Please provide one or two examples of how the above qualities are lived out in this man.
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To your knowledge, has this man ever been convicted of a crime?
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To your knowledge, has this man ever been accused of domestic violence?
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