03. MVBC Form

"*" indicates required fields

Name*

First Last

Acceptance of FBMI Mission, Values, and Beliefs*

I accept and agree with the Mission, Values, and Beliefs of FBMI.

To review our Mission, Values, and Beliefs, visit fbmi.org/about or view here. Our Mission, Values, and Beliefs must be accepted by each applicant before beginning the application process. If you have any questions, feel free to contact us.

Acknowledgement of Responsibility*

I acknowledge that if I choose to change my acceptance of any part of the Mission, Values, or Beliefs of FBMI, I am responsible for communicating this to FBMI and any other affected parties.

Today's Date*

MM slash DD slash YYYY