Good News Bible Study Questionaire
Welcome to the Good News Bible Study. Please fill out this questionaire by
entering the correct information in the text boxes. If there are some boxes that
you cannot fill in, just leave them blank. You must fill out the boxes marked by
a red asterisk (*). When you have filled in as
much as you can, click on Submit to save the information. You will then be given
a student ID number, which is required to go to Part 1 of the study. Once you
receive the student ID number, enter it in the box below and click on Go To Part
1. You will then go to the start of Part 1 of the Good News Bible Study program,
which is entitled "About God".
Name
1. First Name*:
2. Middle Initial:
3. Last Name*:
Address
4. Lot/house number and street:
5. City/town/village:
6. State/Province:
7. ZIP/Postal code:
8. Country*:
9. Phone number:
10. Email address*:
Personal Information
11. Year born:
12. Sex:
13. Race:
14. Marital status:
15. Number in family:
16. Occupation:
17. Religion:
18. If Christian, church attendance:
Church Information
19. Name of church:
20. Name of pastor/priest:
Pastor's address
21. Lot/house number and street:
22. City/town/village:
23. State/Province:
24. ZIP/Postal code:
25. Country:
Other Information
26. How did you hear about the Good News Bible Study?
If other, what?
27. What prayer requests do you have?
28. If the advertisement you saw had a Grading Center Code, please enter it in
the following box; if not, please leave the Grading Center Code blank.
Grading Center Code:
Click on Submit to get your student ID number:
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Reformation Christian Ministries
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PH: (772) 571-8030
FAX: (772) 571-8010
gwd@reformation.edu