Church Form

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FIND YOUR NEW KINGDOM COMMUNITY

GET THE PLUG!

Please fill out the form below and answer the questions as thoroughly and honestly as possible. Your answers are confidential and only used by Kingdom Culture University leadership to compile a list of churches in your area that fit your personal desired criteria. Your transparency is quintessential to that list being effective.

10. Are you an enrolled KCU member or Alumni?

Yes

11. Are you born-again (Have received salvation)?

Yes

I don't know

12. Have you received the baptism of the Holy Spirit? (Speak in tongues)

Yes

13. Gender

Male

Female

Other

I Don't Know

14. Relationship Status

Single

In a Relationship

Engaged

Married

Separated

Divorced

Widowed

15. Sexual Orientation

Heterosexual

Homosexual

Other

I don't know

18. Do you have children?

Yes

22. Have you ever been a member of a church or attended a church regularly?

Yes

23. Is English your first language?

Yes

29. How Long Did You Attend Your Last Church?

Does Not Apply (Have Never Regularly Attended or Become a Member of A Church)

0-6 Months

7 Months- 1 Year

1 Year- 2 Years

2 Years - 5 Years

5 Years - 10 Years

10+ Years

30. Did you inform your last pastor of your leaving?

Yes

Doesn't Apply

36. Do you believe in heaven and hell?

Yes, I believe that both exist

No, I don't believe hell exists

No, I don't believe heaven exists

No, I don't believe in either

37. Do you believe in the existence of demons and angels?

Yes

I don't know

39. Do you or anyone in your family need a wheelchair or assistance with walking or moving around?

Yes

40. Are you or anyone in your family hearing impaired?

Yes

41. Are you or anyone in your family visual impaired?

Yes

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