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)
Your answer
Male or Female?
Address
Your answer
Phone Number
Your answer
Date of Birth
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Marital Status
Do you have any children? (please state ages and gender)
Your answer
Are you a United States citizen? (if not, please state nationality)
Your answer
Are you a high school graduate?
Do you have a college degree? (if yes, what is your degree?)
Your answer
Did you graduate from Bible Institute? (if yes, in what year?)
Your answer
Are you employed?
Employer's Name
Your answer
Employer's Address
Your answer
Employer's Number
Your answer
Your occupation
Your answer
Were you ever a member of this church?
If yes, when?
MM
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DD
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YYYY
How long where you a member of our church?
Your answer
Did you hold any position in our church?
Your answer
What was the reason for you leaving our church?
Your answer
Have you been a member of another church?
Name of former church
Your answer
Have you accepted Jesus Christ as your Lord and Savior?
How long have you been saved?
Your answer
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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