Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender *

Male

Female

Marital Status *

Married

Single

Divorced

Separated

Are you a member of Greenwood Acres Full Gospel? *

Yes

No

Have you graduated from New Members Orientation? *

Yes

No

Are you available to attend meeting for this ministry? *

Yes

No

Are you a tither at Greenwood Acres? *

Yes

No

Have your received the Holy Spirit with the evidence of speaking in tongues?

Yes

No

Have you been baptized (immersed) in water since you accepted Jesus Christ?

Yes

No

Are you presently occupying the same dwelling place with a person of the opposite sex as if you were married? *

Yes

No

Are you involved in illegitimate sexual habits? *

Yes

No

Are you involved with illegal drugs? *

Yes

No

Do you smoke anything? *

Yes

No

Do you drink alcoholic beverages (wine, beer, etc.)? *

Yes

No