SHALOM! WE ENJOY FELLOWSHIPPING WITH YOU You already fellowship with us which is YAHsome! We would just like an opportunity to have your information on file and it seems we do not have it, so thank you for completing this form at your convenience. Your Name* First Last Nickname or Hebraic Name (Optional) Male or Female?* Male Female Your City, State, Zip & Country* City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What are your expectations from fellowshipping with the Assembly of Yahuah? What benefits do you envision receiving?*Your Email Address* Your Mobile Phone*Your Mobile Phone*Age Range* Under 21 21-30 31-40 41-50 Over 50 Do you keep Torah?* Yes No I'm not sure Do you keep Shabbat?* No, I do not observe Shabbat Yes, from sundown on Friday to sundown on Saturday Yes, from sunrise on Saturday to sundown on Saturday Yes, from 12am on Saturday morning to sundown on Saturday Yes, on Sundays at no specific time Yes, the day of the week I observe Shabbat varies (e.g., Lunar Sabbath) How long have you kept Torah?*-- Select One --Less Than 3-months3-6 months6-12 months1-2 years3-5 yearsOver 5 yearsPlease share a quick summary of how you follow Torah?Marital Status*-- Select One --MarriedDivorcedWidowedSingle, Never MarriedAre you in a long-term relationship with anyone?* No Yes, we are engaged to be married Yes, for less than a year and not engaged Yes, for over a year but not engaged Your Spouse's Name First Last Does your spouse follow Torah?* Yes No Do you have any children?* Yes No ChildrenHow many children under the age of 18?*First Name of Child* Age of Child* First Name of Child #2* Age of Child #2* First Name of Child #3* Age of Child #3* First Name of Child #4* Age of Child #4* First Name of Child #5* Age of Child #5* A Few More Questions...Briefly share your testimony*What are your Yah-given skills, trade, talents, or gifts? For example... Singing? Video Editing? Drawing? Teaching? Farming? Etc, Etc.How did you find out about Assembly of Yahuah? Who referred you?*-- Select One --Word of MouthYouTube videoFacebookGoogle SearchOtherWhat YouTube video? What was it about?* What word or phrase did you search for?* Name of Person(s) who referred you* Please tell us details on how you found out about the Assembly of Yahuah.* Have you been part of a Torah-Following assembly before?*--Select One--YesNoWhat was the name of the the assembly or assemblies? Was it online or in-person? What was your experience like while fellowshipping there? Why did you leave?*Do you currently have physical (in-person) fellowship with anyone in your local area? Or do you belong to a local assembly?*--Select One--YesNoHave you ever been part of a Christian church?--Select One--YesNoFor how long were you in Christianity? What years? And what denomination(s)?*Please check any of the below religion(s) you've been involved in?* Islam Hinduism Buddhism Messianic Jewish Community Judaism Mormon Jehovah Witness Satanism or The Occult Other What other religion(s)?* Have you ever been in a leadership role in a faith environment? If yes, please describe in what capacities you served.*Do you have experience providing professional counseling to others?*What is your Follow-Up Preference?*The Assembly of Yahuah has a Follow-up Team that reaches out to persons in our fellowship, perhaps to see how people are doing, to encourage them, to see if they have any prayer requests or questions, etc. That sounds wonderful! Anyone from the Follow-up Team is welcome to contact me. They may only reach out to me at my request. They may reach out if I'm sick or have not shown up for more than 3-weeks. Honestly, I do not want anyone contacting me or reaching out to me for any reason.