Inter-cultural Blessing (Matching) for Children of Ambassadors for Peace Application Form

Photo Age: Blood type: Height: (cm or inch) Weight: (kg or lbs.) SEX M F Eyesight: Left Right Marital Status Single Previously Married [ Divorced Widowed] Residential Address Contact Number Home: Office: Cell: E-mail:

Occupation Please write in detail Number of years in current occupation: Religion Christianity , Buddhism , Islam Proficient Hinduism , Other( ), None languages Preferred nationality of spouse 1. 2. Any nationality Must be ( ) Frequently More than a pack a day Alcohol Sometimes Smoking Sometimes Never Never Education Please indicate if you have completed: Certificate Required 2-day education [Date: / / Venue: ] 3-day Principle Workshop [Date: / / Venue: ] 1. Have you received education on the significance and value of the Blessing? Yes / No 2. Have you been fully briefed on the details of the procedure and method of the Blessing Marriage? Yes / No 3. Have you read through the Divine Principle at least once? Yes / No

Highest level of education completed: Hobbies Family Matters Father Name: Age: Deceased Occupation: Religion: Mother Name: Age: Deceased Occupation: Religion: Siblings ( ) brothers [Among which ( ) are married, ( ) are single] ( ) sisters [Among which ( ) are married, ( ) are single] I am the ( ) oldest in the family Does your family approve to your application for the Blessing? Yes / No ※ Documents submitted for the Blessing will not be returned. Any discrepancies or falsification of the information found will result in the immediate nullification of the Matching and Blessing of the candidate. Submitted on: / /

Questionnaire 1. Have you ever cohabitated with a person of the opposite sex? No Yes, if so how long? ( ) months / years

2. Do you have any children from a previous relationship? No Yes, if so how many? ( ) sons, [age: ] ( ) daughters

3. Do you have any illness or health issues that are not indicated in the health certificate? No Yes, if so please explain:

4. Do you have any significant scars on your body, or other deformity? No Yes, if so please indicate the exact location.

[If it would be helpful in indicating the severity or lack of severity, please also attach a photo.]

5. Do you have any disabilities? No Yes, if so please explain.

[If it would be helpful in indicating the severity or lack of severity, please also attach a photo.]

6. Have you ever traveled abroad? No Yes, if so where ( ) and how long ( days) did you stay?

7. Have you ever been hospitalized? No Yes, if so please indicate the reason and duration.

[Name of illness: Period of stay: ]

8. Have you ever been sentenced to prison? No Yes, if so please explain.

Personal History Education:

Please introduce yourself: (※ Be factual and honest. Do not exaggerate or be misleading in what you write.) * Family Background and particular experiences during your youth:

* Your strong points and weak points:

* Future hopes and aspirations:

I hereby pledge that the information in this application is true and agree to comply with the rituals and procedures for receiving the Blessing. Signature of Applicant: Date: / /

Blessing Donation: Paid on: / / by wire transfer deposit

Refund policy for 1. If a candidate decides to cancel his or her application before the completion of the candidate’s initial Blessing donation matching, the candidate will be entitled to a refund of the Blessing donation after deducting 100,000 KRW or 25% of the blessing donation, whichever is smaller, for administrative expenses. 2. If either candidate dissolves the initial matching after it is completed, but before the Blessing, both candidates will be entitled to a refund of the Blessing donation after deducting 200,000 KRW or 50% of the blessing donation, whichever is smaller, for administrative expenses. 3. The Blessing donation is non-refundable if the candidate has participated in the Blessing Ceremony

Information required from SPONSOR recommending this candidate: ① Number of consultations with SPONSOR ( ) ② Candidate’s understanding of the standards and values of the blessing Good Fair Poor (I do not recommend) ③ Please describe the candidate’s character ④: Please describe the situation of the candidate’s lifestyle ⑤ Please state your overall opinion of the candidate:

I confirm that the information in this application is true to the best of my knowledge. Date: / / Signature of Local Sponsor (who must know the candidate personally)

Signature of National or Regional SPONSOR

[Documents to Prepare for Single Candidates] ① Blessing Application Form ② Family register ③ Photos: one for matching and one for Family Card ④ Blessing donation receipt ⑤ Health Certificate ⑥ Results of HIV/AIDS test ⑦ Certificate of graduation from school/college ⑧ Certificate of employment ⑨ Certificate of having completing required educational workshops ⑩ Written pledge to participate in the Blessing

Written Pledge to Participate in the Matching and Blessing

The significance and value of the Blessing marriage has been explained to me and I understand and agree to its significance and value. I am fully aware of the rituals and procedures for receiving the Blessing. I hereby pledge that:

1. I will attain the standards for taking part in the Blessing Ceremony by: a. Agreeing to the Federation’s ideal of creating a peaceful world through the true family ideal. b. Respecting the True Parents and upholding the purity of true love. c. Completing 3-day workshops and 2-day Blessing education organized by the national headquarters d. Completing the Blessing donation e. I will complete the true family ideal by practicing true love. 2. I will not refuse the partner that is assigned to me through the matching ceremony on the condition that he or she is qualified to take part in the Blessing.

Word of Caution The Blessing donation is a donation made in gratitude to participate in the Blessing, not a fee.

If the candidate violates the pledge above, they will lose their qualification to participate in the Blessing ceremony

A candidate may lose his or her qualification to participate in the Blessing Ceremony in any of the following cases:

(1) If the candidate withdraws from the Blessing Ceremony

(2) If the candidate had falsified facts in application form

(3) If the candidate had not participated in the education courses

(4) If the candidate is mentally ill, epileptic or suffering from an incurable disease or financially incapable of leading a regular life

(5) If the candidate abuses alcohol or tobacco

Applicant Sponsor Name: (Signature) Name: (Signature) Gender: (Age) Gender: (Age) Address: Address: Tel: Tel: