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Home
Global Mission
Welcome
Mission & Vision
Africa Mission
Board Members
Staff Members
Programs
Leadership Development
Education and Mentorship
Community Development
Grant Funds and Partners
Volunteer Opportunities
Church
Church Services
New Member Form
Wedding Application Form
Baby Dedication Form
Funeral Service/Ceremony Form
Member Discharge Form
Testimony/Recommendation Form
Church Property Rental Form
Social Assistance Form
Consent Form/Adult
Consent Form/ Guardian
Travel/Mission Form
Petty Cash From
Church Recommendation Form
Baby Dedication Form
Assistance Application Form
Internship Application Form
Training Registration Form
Bible Study Application Form
Bible Study Registration Form
Church Services Opening Hours
Church Resources
Worship Team
Source of Life Choir
Sunday Live Streaming Service
Church Charity Program
Food Pantry Program
Diaper Bank and Clothing
Emergency Assistance
Resources
OMN Resources
NANOE Resources
Rehoboth Full Gospel Ministries’ Policies
Rehoboth Full Gospel Ministries’ MOUs
Announcements
All Reports
Flash Report Form
Monthly Report Form
Annual Report Form
Annual Reports
Monthly Reports
Quartery Reports
Gallery Photos
Success Stories
Our Events
News & Updates
Church Events
Community Campaigns
Tumaini Care Access
About Tumaini Care Access
Mission & Vision
Tumaini Projects
Community Outreach
Success stories
Beneficiaries
Login Staff Portal
Donate
Contact
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RIC HQ-DAYTON
HARVEST ASSEMBLEES OF GOD
PENTECOSTAL COMMUNITY CHURCH
PRACTICAL CHRISTIAN LIVING AND DESCIPLESHIP CHURCH
Requested Service(s)
*
NEW MEMBER
WEDDING APPLICATION
BABY DEDICATION
FUNERAL SERVICE/CEREMONY
MEMBER DISCHARGE
TESTIMONY/RECOMMENDATION
CHURCH PROPERTY RENTAL
FLASH REPORT
MONTHLY REPORT
ANNUAL REPORT
SOCIAL ASSISTANCE
CONSENT FORM/ADULT
CONSENT FORM/GUARDIAN
TRAVEL/MISSION
PETTY CASH
CHURCH RECOMMENDATION
BABY DEDICATION
ASSISTANCE APPLICATION
INTERNSHIP APPLICATION
TRAINING REGISTRATION
BIBLE STUDY APPLICATION
BIBLE STUDY REGISTRATION
First Name
*
Middle Name
Last Name
*
Date of Birth
*
Gender
*
Male
Female
Email Address
*
Phone Number
*
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Australia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cabo Verde
Cayman Islands
Central African Republic
Chad
Chile
China, People's Republic of
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French South Territories
Gabon
Gambia
Georgia
Germany
Guernsey
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island And Mcdonald Island
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Johnston Island
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
Saint Helena
Saint Pierre & Miquelon
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich
Spain
Sri Lanka
Stateless Persons
Sudan
Sudan, South
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan, Republic of China
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
US Minor Outlying Islands
United States of America (USA)
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis And Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Spiritual Background
Have you accepted Jesus Christ as your Lord?
*
Yes
No
Date of Salvation (if applicable)
Have you been baptized?
*
Yes
No
Baptism Date
*
Previous Church Membership
Church Name
*
City
*
Pastor's Name
*
Denominational Background (if any)
Reason for leaving the previous church
Marital/Family Status
What is your Marital status?
*
Single
Married
Divorced
Widowed
Separated
Spouse’s Name
Do You Have any Child(ren)?
*
Yes
No
Childr(en’s) Name and Age
First Name
*
Middle Name
Last Name
*
Age
*
Church Involvement
Areas of Interest (Check all that apply)
Worship Team
Children’s Ministry
Youth Ministry
Bible Study Groups
Outreach/Missions
Media/Technical Team
Ushering/Greeter Team
Hospitality/Food Services
Prayer Ministry
Other (Specify)
Other (Specify your Church Involvement)
*
Talents and Skills
Do you have any specific skills or talents(e.g: Music)
Yes
No
Are you open to volunteering?
*
Yes
No
Preferred Worship Time
Preferred Service Time (if applicable: Morning, Evening, etc.)
Morning
Evening
Other
Are you interested in joining a Small Group or Bible Study?
Yes
No
Emergency Contact Information
Full Name
*
Relationship to Member
Phone Number
*
Email Address
*
Spiritual Support
How can the church assist in your spiritual growth?
Prayer Requests
Counseling
Mentorship
Do you need help with any special needs or pastoral care?
Yes
No
Describe your help with special needs or pastoral care
*
Membership Agreement/Statement of Faith
Do you agree with our statement of faith?
*
Yes
No
Do you commit to supporting the church through prayer, participation, and giving?
*
Yes
No
Signature (for acknowledgment), Write Your Full Name Here.
*
Additional Notes
Any additional comments or information you’d like to share with us?
Consent for Communication
Do you consent to receive updates, newsletters, and other communications from the church?
*
Yes
No
Your preferred Communication Method
Phone
Email
Text
Phone
*
Email Address
*
Text
*
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