The International Order of Gnostic Templars
I am applying to join the IOGT as a Squire / Lady in Waiting (Please circle)
Name________________________________________________________________________________
Address_______________________________ City____________________________ State ______
Country______________________________________ Postal Code_________________________
Email _______________________________________________________________________________
Home Phone ____________________________Business Phone _________________________
Cell Phone ________________________________ Occupation____________________________
Birth Date (m/d/yr & time, if known)________________________ Birth Place ___________
Are you a member of any Templar, Freemasonic, or esoteric organizations?
YES / NO (Please circle)
If so, which one(s)? ________________________________________________________________
______________________________________________________________________________________
What Skills or Talents do you bring to the Order? ______________________________
______________________________________________________________________________________
______________________________________________________________________________________
Please explain your interest in the IOGT: _________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
What spiritual/religious traditions have you studied? ____________________________
______________________________________________________________________________________
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Please review all 9 videos that introduce the International Order of Gnostic Templar at
www.GnosticTemplars.org. Date of Completion_________________
Do you agree to remain within the IOGT for a period of at least one year,
and do you agree to make every possible attempt to resolve your issues with
the Order before leaving it?_________________
(To be signed after application is accepted; copy with all signatures will be returned
to the applicant)