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? ____________________________
______________________________________________________________________________________
______________________________________________________________________________________
Will you agree to study the standardized curriculum of the Order?
Yes / No (Please circle)
Will you agree to teach the standardized curriculum of the
Order if you progress
to the required degree of Knight or Lady Knight in the IOGT ? Yes/No (Please circle)
(To be signed after application is accepted; copy with all signatures will be returned
to the applicant)