Membership Application
The following information we request will be used for church purposes only. All information given will be kept confidential. We appreciate you answering all questions asked. Thank you.
Today's Date *
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Name (first, last) *
Male or Female? *
Address *
Phone Number *
Date of Birth *
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Marital Status *
Do you have any children? (please state ages and gender) *
Are you a United States citizen? (if not, please state nationality) *
Are you a high school graduate? *
Do you have a college degree? (if yes, what is your degree?) *
Did you graduate from Bible Institute? (if yes, in what year?) *
Are you employed? *
Employer's Name
Employer's Address
Employer's Number
Your occupation
Were you ever a member of this church? *
If yes, when?
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How long where you a member of our church?
Did you hold any position in our church?
What was the reason for you leaving our church?
Have you been a member of another church? *
Name of former church
Have you accepted Jesus Christ as your Lord and Savior? *
How long have you been saved?
Have you been baptized in water? *
Are you willing to tithe? *
Are you willing to follow the church constitution? *
Upon Submission of Application
Upon submitting this application, you sign that all that you have answered is the truth. Your application will be reviewed by our Pastors. Once approved, our general secretary will call you in for an interview with our Pastors.

Thank you for choosing our church as your place of worship and home.
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