Membership Application

Your Details

Name, contact and date of birth

Title

First Name^*

Last Name^*

Email Address^*

Phone Number

Date of Birth

Optional. We use it to send birthday greetings.

Personal Background

Helps us get to know you

Gender

Marital Status

Occupation

Next of Kin / Emergency Contact

Residential Address

Where we can reach you

Address Line 1

Address Line 2

Postal Code

Country

City

Your Testimony

Tell us about your walk with Christ

Personal Testimony^*

0 / 25,000 characters

Please share how you came to faith in Jesus Christ. Take as much space as you need.

Why do you want to join this church?

0 / 5,000 characters

Church Background

Previous experience and how you would like to serve

Previous Church Experience

0 / 5,000 characters

Spiritual Gifts & Service Areas

0 / 5,000 characters

Baptism

Have you been baptized?

I have been baptized

Church Agreement

Please confirm the following before submitting

I accept and agree to abide by the church constitution and bylaws^*

I accept the guidance and authority of the church leadership^*

I am currently a member of a secret society

Reference 1

Required — someone who knows you well

Reference 1 - Name^*

Reference 1 - Phone^*

Reference 1 - Relationship^*

e.g., Pastor, Friend, Family

Reference 2

Optional — a second contact if you have one

Reference 2 - Name (Optional)

Reference 2 - Phone

Reference 2 - Relationship

Application Form

Estimated time: ~10 minutes

Your Details

Personal Background

Residential Address

Your Testimony

Church Background

Baptism

Church Agreement

Reference 1

Reference 2