Membership Questionnaire
Your responses to the "Contact" section of this questionnaire will be transmitted to the church accounting department.  The remainder of the questionnaire will be kept confidential and shared only with the pastoral team.  If you have any questions or concerns, please contact a member of the church staff before you complete this form.

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Contact


Title *
Required
First Name *
Last Name *
Name you prefer (if different)
Street *
City *
State *
Zip Code *
Phone *
123-456-7890
Email *
Personal
Please note: For married couples, each spouse must complete a separate questionnaire.
Date of Birth *
MM/DD/YYYY
Marital Status *
Required
Spouse's First Name
Spouse's Last Name
Are you currently separated?
If yes, please explain
Have you ever been divorced?
If yes, please explain
Child 1 -  First Name
Child 1 -  Last Name
Child 1
Child 1 - Date of Birth
MM/DD/YYYY
Child 2 - First Name
Child 2 - Last Name
Child 2
Child 2 - Date of Birth
MM/DD/YYYY
Child 3 - First Name
Child 3 - Last Name
Child 3
Child 3 - Date of Birth
MM/DD/YYYY
Child 4 - First Name
Child 4 - Last Name
Child 4
Child 4 - Date of Birth
MM/DD/YYYY
Child 5 - First Name
Child 5 - Last Name
Child 5
Child 5 - Date of Birth
MM/DD/YYYY
Child 6 -  First Name
Child 6 -  Last Name
Child 6
Child 6 - Date of Birth
MM/DD/YYYY
Does your child (or children) reside with you?
Please provide additional information that you believe we need to serve your children.
Please provide additional personal information that you believe we need to serve you better. (ex. medical care, criminal convictions, immigration status, education, etc.).
Spiritual Background
In your own words, what is the gospel? *
When did you come to faith in Jesus Christ? Briefly describe the circumstances under which you were born again (e.g., when, where, how). *
Were you baptized after your conversion? *
Required
If yes, please briefly describe (e.g. when, where, how).
How did you first learn about Sovereign Grace Church?
When did you first begin visiting this church.
MM/YYYY
Were you a member of another church prior to coming here? *
Required
If yes, please provide the church name, city, pastor and reason for leaving.
Please select the answer that best applies:
Getting Connected
Do you believe that God has called you to become a member of this local church? *
Required
Have you reviewed and do you agree with the Membership Agreement and Statement of Faith? *
Required
If no, please explain
Do you currently attend a small group?
If yes, which one and for how long?
How have you served in the past? What gifts, abilities or resources do you have that would be useful to serve in the church?
Membership Covenant
Having been brought by God’s grace to repent and believe in the good news of Jesus Christ and his saving work, and having been baptized upon our profession of faith, we do now, relying upon his grace, solemnly and joyfully affirm our covenant with one another as members of this congregation.

We will pray and labor to be faithful disciples of Jesus Christ, devoted to the glory of God, resting in the gospel of his Son, and dependent upon the work of the Holy Spirit. (Matt. 4:19; 1 Cor. 10:31; Eph. 5:18)

We will regularly assemble for corporate worship. We will joyfully participate in opportunities for ministry and fellowship called for by the church. (Heb. 10:25; Eph. 5:19-20; Acts 20:27; 1 Tim. 4:13; Rom. 12:5)

We will defend and maintain our gospel witness by upholding and attending to biblical preaching, the administration of the Lord’s supper and baptism, and the exercise of church discipline. We will train ourselves in the teachings of Scripture as expressed in our statement of faith. (2 Tim. 3:16-4:2; Luke 22:14-20; Matt. 18:15-27, 28:18-20; 1 Cor. 5:1-2; Col. 3:16; 2 John 1:9-10; Heb. 5:14)

We will affirm the calling of God-appointed and qualified elders by submitting to their leadership, praying for them and their families, and thanking God for their gifts, service, and vision for the church. (Acts 20:28; 1 Tim. 3:1-7; Heb. 13:7, 17; 2 Thess. 3:1)

We will walk together in brotherly love. We will pray for one another, serve one another, care for one another, and watch over one another. We will rejoice with those who rejoice and weep with those who weep, bearing one another’s burdens with patience and tenderness. We will speak to one another in ways that encourage and build one another up in the faith. (Rom. 12:10-15; 2 Cor. 1:3-4; 1 Pet. 4:10; Col. 3:12-17; Prov. 10:18)

We will eagerly maintain the unity of the Spirit in the bond of peace. We will forgive one another and make every effort to promote reconciliation. If possible, so far as it depends on us, we will live peaceably with all people. (Eph. 4:3; Eph. 4:29-32; Rom. 12:18)

We will proclaim the gospel to our neighbors and faithfully labor for the spread of the gospel to all nations. We will seek to adorn the gospel by pursuing godliness and giving ourselves to good works. (Matt. 28:18-20; Rom. 10:14-15; Phil. 1:27; 1 Tim. 4:7-8)

We will cheerfully and regularly give of our finances to support the congregation, care for the needs of others, and support the work of our gospel partners. (2 Cor. 8:9, 9:6-7, 10-15; Gal. 6:10; 1 Cor. 9:14; 1 Tim. 5:17; Acts 1:8; Rom. 15:20)

We will, if God calls us away from this church, unite with another church where we can carry out the spirit of this covenant and the teaching of God’s word. (1 Cor. 1:2; Eph. 2:19)

May the grace of the Lord Jesus Christ and the love of God and the fellowship of the Holy Spirit be with us all.

The basis for our joining together as members of Sovereign Grace Church is our relationship with God the Father through the work of his son Jesus Christ communicated to us by the Holy Spirit. As a member of Sovereign Grace Church, I wholeheartedly agree to walk together with the members of this church, making the commitments listed above.
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