Orientation Form

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New Member Orientation Form

* Indicates required field

Name *

First

Last

Gender *

Male Female

Membership *

Local Membership E-Membership

Birthdate *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Are You Relocating From Another State? If So, Where & How Long? *

Marital Status *

Single Married Divorced Separated

Spouse's Name *

First

Last

Anniversary Date *

Children’s Name & Age *

Emergency Contact Person Name, Phone # & Relationship To You: *

Please List Any Medical Conditions Or Allergies *

Place of Employment, Where & How Long *

Last or Current Church Membership Name & Denomination *

Pastor’s Name & Phone *

If needed upon request, are you willing to have a letter of recommendation sent on your behalf from your former church? *

YES NO

Have You Accepted Christ As You Lord And Personal Savior? *

YES NO

When? *

Do You Believe In The “Holy Trinity”; God The Father, God The Son & God The Holy Spirit? *

YES NO

Have You Been Water Baptized? If So, When & Where: *

Are You Affiliated With Any Organization? (i.e. Masons, OES, Shriners or Red Hats) *

Do You Understand The “Vision” & “Mission” Of Redeemed By The Blood Pentecostal COGIC? *

YES NO

As A Member; Will You Support Redeemed by the Blood Pentecostal COGIC With Your: Attendance, Prayers, Gifts, Talents, Tithes & Offerings? *

YES NO

Have You Ever Been Convicted Of A Sex Crime? *

YES NO

Please List Crime & Date Convicted *

Please List Any Areas Of Ministry You Would Like To Serve In *

Please Describe Your Spiritual Goals, Journey & Purpose *

Submit

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Home
Dr. Boles
- About >
Ministries
Events
Live Stream
Give
Store
Contact Us
Reopening