To open a File of Consciousness with the Christian Church (Disciples of Christ), please complete the form below.
Full Legal Name*
Date of Birth*
Address*
City*
State/Province*
Select State or Province Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces America Armed Forces Other Areas Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Micronesia Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Islands Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Country other than US or Canada
Postal Code*
Phone (home)*
Phone (cell)*
E-mail Address*
File Status
Please select one of the following:
This is a new file. This is an addition to an existing file.
Click here for additional information regarding available resources for military personnel.
Military Status
I am currently a member of the active duty milirary, military reserves, have signed recruiting documents or am already scheduled to report to active duty.
Tell us about your military status and service.
Military Service
I am a veteran of military service.
Tell us about your military service.
Because of the beliefs I have, I (check all that apply):*
Object to participation in war or military conflict in any form Object to paying for war or military conflict Object to participating in particular unjust wars Object to nuclear war
I have participated in these activities, which support my beliefs:*
Created a file of conscience which states my beliefs and actions around issues of war and military conflict. Am now or have been a member of congregations or spiritual bodies that have influenced my understanding of war and peace. Participated in peace and justice organizations. Participated in demonstrations or activaties that display my commitment to my beliefs. Participated in religious studies or religious gatherings that display my commitments to my beliefs. Read and/or studied the works of others that have deeply influenced my beliefs about war and peace. Authored letters to the editor reflecting my values and beliefs around issues of peace, justice and war. Authored published works reflecting my values and beliefs around issues of peace, justice and war. Authored unpublished academic work (such as term papers or essays) that reflect my values and beliefs around issues of peace, justice and war. Committed acts of civil disobedience which support and reflect my belief around issues of peace, justice and war. Have taken academic classes which have influenced my thinking about peace, justice and war.
Please explain your participation for each item checked above and how such participation supports your beliefs. Use a separate explanation for each item checked above.
Explanation of items checked above.*
Describe the beliefs that shape your understanding of war, justice and peace. (Click here for some thoughts on how to construct this essay.)
Describe how the beliefs in your first essay were developed. (Click here for some thoughts on how to construct this essay.)
Thank you for opening a file of conscience. This file will be housed at the Disciples Home Missions Office of the Christian Chruch (Disciples of Christ). It is confidential -- no information will be used (including your contact information) with your approval.
Please check one or the other of the following boxes, regarding whether you would like someone to review your file and make suggestions on how to make it more useful to you in a variety of ways:
Yes -- please have someone contact me with recommendations and/or who may be able to answer some questions for me. No -- thank you, I do not wish to be contacted.
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What is two added to one?*
