Affiliate Application

Become an Affiliate Member of the South Florida Association of Christian Counselors today!
This information WILL NOT be displayed on the SFACC Online Directory.

Title

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First Name *

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Last Name *

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Suffix

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Email Address (Personal) *

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Phone Number: (Main Contact Number) *

(###- ### - ####)

Email Address (Work)

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Home Street Address *

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Address Line 2

City *

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State *

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Zip Code *

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Country *

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Name of Organization or Church

Organization/Church Address

Address Line 2

City *

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State *

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Zip Code *

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Country *

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Website

Please select any of the following categories that best matches your affiliate membership type.

Pastor or Seminarian preparing for pastoral position

Non-licensed mental health professional (exempt status)

Student currently enrolled in an undergrad or grad program in mental health

Lay Counselor who has successfully completed a lay counseling training program

Marriage Mentor who has successfully completed marriage mentor training

Retired or Inactive, has been a licensed mental health professional or a pastor

Statement of Faith:

SFACC Statement of Faith
(Used with permission by the National Association of Evangelicals)
• We believe the Bible to be the inspired, the only infallible, authoritative Word of God.
• We believe that there is one God, eternally existent in three persons: Father, Son and Holy Spirit.
• We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.
• We believe that for the salvation of lost and sinful people, regeneration by the Holy Spirit is absolutely essential.
• We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life.
• We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation.
• We believe in the spiritual unity of believers in our Lord Jesus Christ

Confirmation
In order for your Affiliate Membership to be complete we need a record of your confirmation of the following items.

I believe and affirm the elements of the SFACC Statement of Faith

I understand the SFACC Statement of Faith and affirm with reservation (*if applicable describe your reservation below)

I verify that all of the information provided above is true and correct

My Affiliate Membership does not include me in the online Counselor Directory.

* If you expressed a reservation to the SFACC Statement of Faith please describe your reservation(s) above:

Thank you for applying to become an Affiliate Member of the SFACC. The following are your next steps to membership:

STEP ONE (Completed): Submit Application
STEP TWO: Application reviewed by our SFACC Administration Team.
STEP THREE: Once approved you will be an official Affiliate Member and will receive electronic confirmation of your membership with us. You will also receive our regular updates and offer you the ability to attend our SFACC Events.

**Reminder: Online Profiles are only included with a Clinical Membership.

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Statement of Faith: