The Church of Israel housing application
Date
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Name
*
First Name
Middle Name
Last Name
Suffix
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Can you receive mail at this address? If not please provide your mailing address?
*
Phone Number
*
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
Are you a Member of COI?
*
Yes
No
How long have you been a Memeber of COI?
*
Have you been paying your Tithes or supporting the church financially?
*
Yes
No
Are you baptized?
*
Yes
No
If yes, When and Where?
Are you married?
*
Yes
No
If you are married, is your spouse a Member of COI?
*
Yes
No
Is your Spouse Baptized?
*
Yes
No
If yes, When and Where?
Do you have any Children?
*
No
Yes
What is the Number of children or dependent currently living in your household or the number children you plan to bring with you?
*
Do you have any farming skills?
*
Yes
No
Do you have any children/Dependents?
*
Yes
No
Do you have any Trade skills?
*
Yes
No
If so, What is the Number of Children or Dependent(s) currently living in your household? Or the number of Children or Dependent(s) who plan on living with you in the community?
*
Have you or your Spouse ever been convicted of a felony?
*
Yes
No
If so, Who? And please explain?
Having a felony does not automatically disqualify for housing.
Do you follow all the commandments and Laws that was given to us by the Lord?
*
Yes
No
Are you aware or keep the Dietary laws of the Lord as written in Leviticus 11th Chapter?
*
Yes
No
Do you or Spouse celebrate Christmas, Easter, Halloween or any other pagan holidays?
*
Yes
No
Church of Israel References
*
Church of Israel References
*
Church of Israel References
*
Signature
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