Heart of Rubies Corporation
contactus@heartofrubies.org 757-514-8446
Membership Questionnaire
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
How old are you?
18-25
26-35
36-45
46-55
56-65
Other
How did you hear about us?
A Member
A Friend
A Family Member
Volunteer
Social Media Ad
Event
Other
How would you describe your walk with Jesus Christ?
I am not currently walking with Jesus, but I am open to learning more about Him.
I have a church home, but I'm not saved or have a personal relationship with Jesus
I am unsure of my standing or relationship with Jesus at this time
I am spiritual, but do not have a personal relationship with Jesus
My walk with Jesus involves consciously resisting worldly influences and aligning my actions with biblical principles
I prefer not to answer
What are some of your talents and/or giftings?
Are you open to traveling with the organization to different locations outside your home city?
Yes
No
Are you able to commit to a monthly or annual donation for membership?
Yes
No
What T-shirt size are you?
Child/x-small
XL
Small
XXL
Medium
XXL
Large
Other
By submitting this form, you agree to receive email, calls, or text message communications from us. Please check the box below to provide your consent.
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Yes
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