Membership Application
Please state briefly how and when you accepted Christ.
BAPTISMBaptism is a symbol of our identification with Christ's death, burial, and resurrection and therefore is an important step for every believer. Have you been baptized since you began your personal relationship with Jesus Christ? Yes No
BAPTISM
GENERAL INFORMATION
First Name Middle Name Last Name
Home Address
Home Phone Cell Phone Work Phone
Email Address
Sex Birthday Male Female
Martial StatusSingle Widowed Married
Employer Occupation
School (if a student) School Grade
Previous Church MembershipName of Church City State
Others Living in Household(Including spouse, parents, etc.)1st Family Member's Name Relationship Birthday 2nd Family Member's Name Relationship Birthday
3rd Family Member's Name Relationship Birthday
4th Family Member's Name Relationship Birthday
5th Family Member's Name Relationship Birthday
Involvement in Small Groups (Community): Life Group (married, singles, college, ladies, men) Starting Point Financial Peace University UpTown Children's Small Group Involvement in Service Area: Ministry of Helps (Greeter, Usher) New Life Resources (Product Table, Tape Ministry) Bus Ministry Service Programming (Praise/Worship, Sound/Video) UpTown Children’s Ministry DownTown Children's Ministry Connection Ministry (Guest Center, Newcomer's Fellowship) I am in the process of joining a service area.