SlideShare a Scribd company logo
The
BCBP Formation
Program
for
Associate Members
and
Commitment
INTRODUCTION
• Everyone needs formation, but
especially at the beginning of our
life of discipleship in the BCBP ,
we need formation to follow Christ
consistently and faithfully.
• We need two types of formation
1. Character Formation
2. Formation in how to live as
responsible members of the
BCBP.
1. Character Formation
• Proverbs 5:23 says: “They die for lack
of discipline and because of their
great folly, they are lost.”
• Proverbs 6:23 further says “ For the
commandment is a lamp and the
teaching a light, and the reproofs of
discipline is a way of life.”
• These Proverbs tell us that the
teachings of Jesus Christ makes us to
be able to live according to the will of
the Father.
• They also say that people can die
(physical and spiritual death) if they
are not formed, if they are not
corrected, and if there is no
discipline in their lives
2. Training for participating
responsibly in the life and
mission of the BCBP
• Mark 1:16-20 narrates how Jesus
called His disciples. He called them to
follow Him and promised to make
them fishers of men.
• ‘FOLLOW ME’ - Jesus made it clear
that to become a disciple involves
training and formation.
• An Overview of the BCBP Training
Program
1. The Brotherhood Christian Life
Program (BCLP)
2. The Free-to-Follow-the-Lord
Weekend Retreat (FTFTLWR)
3. The BCBP Christian Marriage
Retreat (BCMR)
4. The BCBP Christians in Business
Retreat (BCBR)
5. The BCBP Way of Life Weekend
(BWOL)
• Being an Associate Member
1. Once you have finished the
BCLP, you will be introduced to the
BCBP Formation Program. Then
after you have committed to follow
the program, you will become a
Member-in-Formation or Associate
Member.
2. As an Associate Member, you
shall share in all benefits of
membership, but will be limited
from serving in major positions.
3. During this time, you’ll have a
good look at the BCBP, its life
and mission.
4. It is a time for the Lord to make
clear whether or not He wants
you to be a member or He is
calling you to serve Him
somewhere else.
5. During this stage, you can leave
the BCBP anytime, all you have
to do is tell your AGL for the
sake of good order.
6. During this time also, the BCBP
can take a good look at you and
ask if the Lord is really calling
you to the BCBP. Are you living
out the teachings of the
Programs/Retreats you have
attended?
7. In the end, it only make sense to
invite for commitment for full
membership those who have
become committed members.
8. The BCBP understands that the
spiritual growth of the Associate
Members are not all the same.
Some may grow faster or slower
than the others. Some may
need additional time. After
finishing the Formation
Calendar, some will be invited
to commit to regular
membership, based on the
recommendations of your
leaders.
9. The BCBP understands that the
spiritual growth of the Associate
Members are not all the same.
Some may grow faster or slower
than the others. Some may
need additional time. After
finishing the Formation
Calendar, some will be invited
to commit to regular
membership, based on the
recommendations of your
leaders.
10. For those who will not be invited
yet, they will remain as
members-in-formation until such
time that their leaders feel that
these members are already
living out the BCBP mission and
way of life and therefore ready
to commit.
CONCLUSION
• The time of formation is a time of
great grace from the Lord. In this
period, you will be helped to grow
spiritually and follow the Lord in joy
and peace.
• The Lord saw you giving your time to
finish the BCLP. He is now asking you
to open your heart and mind to be
formed, so that He can teach you to
serve Him well as his disciple in the
BCBP.
• The BCBP is asking you now to
give this Formation program a chance
and make it the Lord’s instrument for
your own formation. You will do so by
committing yourself into it.
The Associate Member’s Commitment
‘I, ______________, desire to become an
Associate Member of the BCBP, and promise
to attend the Formation Program of the BCBP
faithfully. In addition, I will faithfully attend
my Action Group and participate in other
BCBP activities as far as I am able. I will
make myself available for service as far as
the concrete circumstances in my family and
professional life permit and contribute
financially to the BCBP’s life and mission.’
Date________________ Signature__________________
The
2023-2024
Formation Calendar
New
Action Group
Groupings
ANNOUNCEMENTS

More Related Content

Similar to BCBP Entering the Formation Program Talk

Clinical Pastoral Education
Clinical Pastoral EducationClinical Pastoral Education
Clinical Pastoral Education
Celia Munson, BCCC
 
Bid Alumni Meeting 012610
Bid Alumni Meeting   012610Bid Alumni Meeting   012610
Bid Alumni Meeting 012610
papete
 
life, What is life, how to have life How life grows strong, the withering of...
life,What is life, how to have lifeHow life grows strong,  the withering of...life,What is life, how to have lifeHow life grows strong,  the withering of...
life, What is life, how to have life How life grows strong, the withering of...
franktsao4
 
Apla
AplaApla
Apla
Sa Je La
 
Stronger_Churches_-_12_Modules_-_Facilitator.pdf
Stronger_Churches_-_12_Modules_-_Facilitator.pdfStronger_Churches_-_12_Modules_-_Facilitator.pdf
Stronger_Churches_-_12_Modules_-_Facilitator.pdf
RonaldoBeco
 
Volunteer Staff Handbook
Volunteer Staff HandbookVolunteer Staff Handbook
Volunteer Staff Handbook
Dorsha Dawkins
 
October 2018 ICF Colorado Newsletter
October 2018 ICF Colorado NewsletterOctober 2018 ICF Colorado Newsletter
October 2018 ICF Colorado Newsletter
ICF Colorado
 
The Navigators - The New 2:7 Series
The Navigators - The New 2:7 SeriesThe Navigators - The New 2:7 Series
The Navigators - The New 2:7 Series
beetranscarpathion
 
July 2018 ICF Colorado Newsletter
July 2018 ICF Colorado Newsletter July 2018 ICF Colorado Newsletter
July 2018 ICF Colorado Newsletter
ICF Colorado
 
The Benefits Of Fasting In Ramadan
The Benefits Of Fasting In RamadanThe Benefits Of Fasting In Ramadan
The Benefits Of Fasting In Ramadan
Mohammed Nehan
 
Leadership Journal before journal is submitted
Leadership Journal before journal is submittedLeadership Journal before journal is submitted
Leadership Journal before journal is submitted
karenahmanny4c
 
PDA
PDAPDA
Ministry Guide Summary
Ministry Guide SummaryMinistry Guide Summary
Ministry Guide Summary
Bong Baylon
 
Empowering Vision
Empowering VisionEmpowering Vision
Empowering Vision
Jeremy Collins
 
The Catholic Priesthood - Tony Mariot
The Catholic Priesthood - Tony MariotThe Catholic Priesthood - Tony Mariot
The Catholic Priesthood - Tony Mariot
University of Oxford Research
 
Spiritual Disciplines
Spiritual DisciplinesSpiritual Disciplines
Spiritual Disciplines
Jonathan Dunnemann
 
Spiritual discipleship 7
Spiritual discipleship 7Spiritual discipleship 7
Spiritual discipleship 7
Renee Garber
 
Philosophy of Ministry of SATS
Philosophy of Ministry of SATSPhilosophy of Ministry of SATS
Philosophy of Ministry of SATS
Kevin Smith
 
Pre-Cambridge Presentation Sawm.pptx
Pre-Cambridge Presentation Sawm.pptxPre-Cambridge Presentation Sawm.pptx
Pre-Cambridge Presentation Sawm.pptx
MuftiKhurramHussain
 
Clp talk 10 2011
Clp talk 10 2011Clp talk 10 2011
Clp talk 10 2011
luis fabellon jr.
 

Similar to BCBP Entering the Formation Program Talk (20)

Clinical Pastoral Education
Clinical Pastoral EducationClinical Pastoral Education
Clinical Pastoral Education
 
Bid Alumni Meeting 012610
Bid Alumni Meeting   012610Bid Alumni Meeting   012610
Bid Alumni Meeting 012610
 
life, What is life, how to have life How life grows strong, the withering of...
life,What is life, how to have lifeHow life grows strong,  the withering of...life,What is life, how to have lifeHow life grows strong,  the withering of...
life, What is life, how to have life How life grows strong, the withering of...
 
Apla
AplaApla
Apla
 
Stronger_Churches_-_12_Modules_-_Facilitator.pdf
Stronger_Churches_-_12_Modules_-_Facilitator.pdfStronger_Churches_-_12_Modules_-_Facilitator.pdf
Stronger_Churches_-_12_Modules_-_Facilitator.pdf
 
Volunteer Staff Handbook
Volunteer Staff HandbookVolunteer Staff Handbook
Volunteer Staff Handbook
 
October 2018 ICF Colorado Newsletter
October 2018 ICF Colorado NewsletterOctober 2018 ICF Colorado Newsletter
October 2018 ICF Colorado Newsletter
 
The Navigators - The New 2:7 Series
The Navigators - The New 2:7 SeriesThe Navigators - The New 2:7 Series
The Navigators - The New 2:7 Series
 
July 2018 ICF Colorado Newsletter
July 2018 ICF Colorado Newsletter July 2018 ICF Colorado Newsletter
July 2018 ICF Colorado Newsletter
 
The Benefits Of Fasting In Ramadan
The Benefits Of Fasting In RamadanThe Benefits Of Fasting In Ramadan
The Benefits Of Fasting In Ramadan
 
Leadership Journal before journal is submitted
Leadership Journal before journal is submittedLeadership Journal before journal is submitted
Leadership Journal before journal is submitted
 
PDA
PDAPDA
PDA
 
Ministry Guide Summary
Ministry Guide SummaryMinistry Guide Summary
Ministry Guide Summary
 
Empowering Vision
Empowering VisionEmpowering Vision
Empowering Vision
 
The Catholic Priesthood - Tony Mariot
The Catholic Priesthood - Tony MariotThe Catholic Priesthood - Tony Mariot
The Catholic Priesthood - Tony Mariot
 
Spiritual Disciplines
Spiritual DisciplinesSpiritual Disciplines
Spiritual Disciplines
 
Spiritual discipleship 7
Spiritual discipleship 7Spiritual discipleship 7
Spiritual discipleship 7
 
Philosophy of Ministry of SATS
Philosophy of Ministry of SATSPhilosophy of Ministry of SATS
Philosophy of Ministry of SATS
 
Pre-Cambridge Presentation Sawm.pptx
Pre-Cambridge Presentation Sawm.pptxPre-Cambridge Presentation Sawm.pptx
Pre-Cambridge Presentation Sawm.pptx
 
Clp talk 10 2011
Clp talk 10 2011Clp talk 10 2011
Clp talk 10 2011
 

Recently uploaded

Top five deadliest dog breeds in America
Top five deadliest dog breeds in AmericaTop five deadliest dog breeds in America
Top five deadliest dog breeds in America
Bisnar Chase Personal Injury Attorneys
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
Nguyen Thanh Tu Collection
 
PIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf IslamabadPIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf Islamabad
AyyanKhan40
 
Hindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdfHindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdf
Dr. Mulla Adam Ali
 
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat  Leveraging AI for Diversity, Equity, and InclusionExecutive Directors Chat  Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
TechSoup
 
DRUGS AND ITS classification slide share
DRUGS AND ITS classification slide shareDRUGS AND ITS classification slide share
DRUGS AND ITS classification slide share
taiba qazi
 
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdfANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
Priyankaranawat4
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
History of Stoke Newington
 
The basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptxThe basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptx
heathfieldcps1
 
Types of Herbal Cosmetics its standardization.
Types of Herbal Cosmetics its standardization.Types of Herbal Cosmetics its standardization.
Types of Herbal Cosmetics its standardization.
Ashokrao Mane college of Pharmacy Peth-Vadgaon
 
A Independência da América Espanhola LAPBOOK.pdf
A Independência da América Espanhola LAPBOOK.pdfA Independência da América Espanhola LAPBOOK.pdf
A Independência da América Espanhola LAPBOOK.pdf
Jean Carlos Nunes Paixão
 
Life upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for studentLife upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for student
NgcHiNguyn25
 
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
RitikBhardwaj56
 
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments UnitDigital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit
chanes7
 
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingYour Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Excellence Foundation for South Sudan
 
Smart-Money for SMC traders good time and ICT
Smart-Money for SMC traders good time and ICTSmart-Money for SMC traders good time and ICT
Smart-Money for SMC traders good time and ICT
simonomuemu
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
Celine George
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
National Information Standards Organization (NISO)
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
amberjdewit93
 
S1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptxS1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptx
tarandeep35
 

Recently uploaded (20)

Top five deadliest dog breeds in America
Top five deadliest dog breeds in AmericaTop five deadliest dog breeds in America
Top five deadliest dog breeds in America
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
 
PIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf IslamabadPIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf Islamabad
 
Hindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdfHindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdf
 
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat  Leveraging AI for Diversity, Equity, and InclusionExecutive Directors Chat  Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
 
DRUGS AND ITS classification slide share
DRUGS AND ITS classification slide shareDRUGS AND ITS classification slide share
DRUGS AND ITS classification slide share
 
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdfANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
 
The basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptxThe basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptx
 
Types of Herbal Cosmetics its standardization.
Types of Herbal Cosmetics its standardization.Types of Herbal Cosmetics its standardization.
Types of Herbal Cosmetics its standardization.
 
A Independência da América Espanhola LAPBOOK.pdf
A Independência da América Espanhola LAPBOOK.pdfA Independência da América Espanhola LAPBOOK.pdf
A Independência da América Espanhola LAPBOOK.pdf
 
Life upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for studentLife upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for student
 
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
 
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments UnitDigital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit
 
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingYour Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
 
Smart-Money for SMC traders good time and ICT
Smart-Money for SMC traders good time and ICTSmart-Money for SMC traders good time and ICT
Smart-Money for SMC traders good time and ICT
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
 
S1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptxS1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptx
 

BCBP Entering the Formation Program Talk

  • 2. INTRODUCTION • Everyone needs formation, but especially at the beginning of our life of discipleship in the BCBP , we need formation to follow Christ consistently and faithfully. • We need two types of formation 1. Character Formation 2. Formation in how to live as responsible members of the BCBP.
  • 3. 1. Character Formation • Proverbs 5:23 says: “They die for lack of discipline and because of their great folly, they are lost.” • Proverbs 6:23 further says “ For the commandment is a lamp and the teaching a light, and the reproofs of discipline is a way of life.”
  • 4. • These Proverbs tell us that the teachings of Jesus Christ makes us to be able to live according to the will of the Father. • They also say that people can die (physical and spiritual death) if they are not formed, if they are not corrected, and if there is no discipline in their lives
  • 5. 2. Training for participating responsibly in the life and mission of the BCBP • Mark 1:16-20 narrates how Jesus called His disciples. He called them to follow Him and promised to make them fishers of men. • ‘FOLLOW ME’ - Jesus made it clear that to become a disciple involves training and formation.
  • 6. • An Overview of the BCBP Training Program 1. The Brotherhood Christian Life Program (BCLP) 2. The Free-to-Follow-the-Lord Weekend Retreat (FTFTLWR) 3. The BCBP Christian Marriage Retreat (BCMR) 4. The BCBP Christians in Business Retreat (BCBR) 5. The BCBP Way of Life Weekend (BWOL)
  • 7. • Being an Associate Member 1. Once you have finished the BCLP, you will be introduced to the BCBP Formation Program. Then after you have committed to follow the program, you will become a Member-in-Formation or Associate Member. 2. As an Associate Member, you shall share in all benefits of membership, but will be limited from serving in major positions.
  • 8. 3. During this time, you’ll have a good look at the BCBP, its life and mission. 4. It is a time for the Lord to make clear whether or not He wants you to be a member or He is calling you to serve Him somewhere else. 5. During this stage, you can leave the BCBP anytime, all you have to do is tell your AGL for the sake of good order.
  • 9. 6. During this time also, the BCBP can take a good look at you and ask if the Lord is really calling you to the BCBP. Are you living out the teachings of the Programs/Retreats you have attended? 7. In the end, it only make sense to invite for commitment for full membership those who have become committed members.
  • 10. 8. The BCBP understands that the spiritual growth of the Associate Members are not all the same. Some may grow faster or slower than the others. Some may need additional time. After finishing the Formation Calendar, some will be invited to commit to regular membership, based on the recommendations of your leaders.
  • 11. 9. The BCBP understands that the spiritual growth of the Associate Members are not all the same. Some may grow faster or slower than the others. Some may need additional time. After finishing the Formation Calendar, some will be invited to commit to regular membership, based on the recommendations of your leaders.
  • 12. 10. For those who will not be invited yet, they will remain as members-in-formation until such time that their leaders feel that these members are already living out the BCBP mission and way of life and therefore ready to commit.
  • 13. CONCLUSION • The time of formation is a time of great grace from the Lord. In this period, you will be helped to grow spiritually and follow the Lord in joy and peace. • The Lord saw you giving your time to finish the BCLP. He is now asking you to open your heart and mind to be formed, so that He can teach you to serve Him well as his disciple in the BCBP.
  • 14. • The BCBP is asking you now to give this Formation program a chance and make it the Lord’s instrument for your own formation. You will do so by committing yourself into it.
  • 15. The Associate Member’s Commitment ‘I, ______________, desire to become an Associate Member of the BCBP, and promise to attend the Formation Program of the BCBP faithfully. In addition, I will faithfully attend my Action Group and participate in other BCBP activities as far as I am able. I will make myself available for service as far as the concrete circumstances in my family and professional life permit and contribute financially to the BCBP’s life and mission.’ Date________________ Signature__________________