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Name
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First
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Gender
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Membership
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Local Membership
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Birthdate
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Home Address
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City
State
Zip Code
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Mailing Address
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City
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Phone Number
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Email
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Are You Relocating From Another State? If So, Where & How Long?
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Marital Status
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Spouse's Name
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Anniversary Date
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Children’s Name & Age
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Emergency Contact Person Name, Phone # & Relationship To You:
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Please List Any Medical Conditions Or Allergies
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Place of Employment, Where & How Long
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Last or Current Church Membership Name & Denomination
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Pastor’s Name & Phone
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If needed upon request, are you willing to have a letter of recommendation sent on your behalf from your former church?
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Have You Accepted Christ As You Lord And Personal Savior?
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YES
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When?
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Do You Believe In The “Holy Trinity”; God The Father, God The Son & God The Holy Spirit?
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Have You Been Water Baptized? If So, When & Where:
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Are You Affiliated With Any Organization? (i.e. Masons, OES, Shriners or Red Hats)
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Do You Understand The “Vision” & “Mission” Of Redeemed By The Blood Pentecostal COGIC?
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As A Member; Will You Support Redeemed by the Blood Pentecostal COGIC With Your: Attendance, Prayers, Gifts, Talents, Tithes & Offerings?
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YES
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Have You Ever Been Convicted Of A Sex Crime?
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YES
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Please List Crime & Date Convicted
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Please List Any Areas Of Ministry You Would Like To Serve In
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Please Describe Your Spiritual Goals, Journey & Purpose
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Home
Dr. Boles
About
>
Lady Boles
Vision Statement
Statement Of Faith
New Members Orientation
>
Pentecostal Creed
Ministries
Events
Live Stream
Give
Store
Contact Us
Reopening