Membership Questionnaire

Please fill out this form and click submit.

Name

*

Gender

*

Please select one option.

Male Femail

Date of Birth

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Marital Status

*

Please select one option.

Married Single Divorced Widowed Separated

Do you have any children in your household? If yes, what are their names and ages?

*

Have you attended the membership class?

*

Please select one option.

Yes No

Are you currently a member of another church?

*

Please select one option.

Yes No

If yes, where?

*

Have you been baptized?

*

Please select one option.

Yes, by immersion after trusting in Jesus Christ I was sprinkled at some point on my faith journey. Only as an infant. No, I have never been baptized.

Are you in agreement with the Statement of Faith?

*

Please select one option.

Yes No

Do you agree to the Membership Covenant?

*

Please select one option.

Yes No

Do you have any questions about the Membership Covenant? (optional)

Share how you became a Christian.

*

In your own words, explain the gospel.

*

What are some ways that you are gifted to serve?

*

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