Membership Application

Your name *

Last name

Email address *

Address *

HomeWorkOther

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

MobileHomeWorkOther

Birthday *

Anniversary date

Have you trusted Jesus Christ as your personal savior? *

Yes

No

Not Sure

I am applying for membership by: *

Baptism

Christian Testimony

Transfer

Have you been baptized by immersion after placing your faith in Jesus Christ as your Lord and Savior? *

Select…YesNo

If you are now a member of another church, please give name and address of church:

Is it your desire and purpose to have a growing relationship with Christ and to please Him and to be a good testimony in your conduct? *

Yes

No

Not Sure

As you understand our church doctrine and covenant, are you in agreement with them? *

Yes

No

Not Sure

Have you ever been removed from membership through church discipline or are you now under church discipline in another church? *

Yes

No

Not Sure

Have you taken the Next Step Class yet? *

Yes

No

Not Sure

Please list the names and birthdates of any children living at home.

Which (if any) ministries are you interested in serving or participating in?

Bible Studies

Men's Ministry

Women's Ministry

PrimeTimers (55 & Over)

Youth Ministry (6-12 grade)

Children's Ministry

Sunday School

Worship Team

Tech & A/V Team

Prayer Night

Missions Team

GriefShare

DivorceCare

Home Fellowship Groups

Meals Ministry

Hospitality: Greeting, Ushers, Welcome Center

Sunday Morning Café

Other

Type your first and last name below to serve as your signature affirming that the answers provided above are accurate to the best of your knowledge. *

Submit

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