Grace Church of Alexandria - Membership Application
Thank you for your interest in becoming a member at Grace Church!

We ask each person interested in membership to fill out a Membership Application. If a couple is applying together, please submit a separate application for each person (other than any shared contact and family information).

After submitting the application, we'll contact you to work out a time for a membership interview.

Apart from you personal contact information (which we'll include in our Membership Directory), all information on your application will remain confidential with the elders, Deacon of Membership, or another deacon that will be present at your interview.

Name
First and Last
Your answer
Date of Birth
MM
/
DD
/
YYYY
Street Address
Your answer
City
Your answer
State
Your answer
ZIP
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Occupation
Your answer
Family Information
Are you married?
If so, when is your anniversary?
MM
/
DD
/
YYYY
What is your spouse's name?
Your answer
Are you divorced?
Children
Please list name, date of birth, and gender for any additional children:
Your answer
Directory Permission
May we include your contact information in the membership directory?
Only members of GCA have access to this directory.
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