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M EM BE RS HI P F O RM
________________________________________________________________________________________ Last Name: Gender: Address: Home Phone: Email Address: Occupation: Place of Birth: Nationality: ________________________________________________________________________________________ Date You Accepted Jesus Christ: Date You Were Water Baptized: Who led you to Christ? Previous Church attended: Previous Ministry Involvement: ________________________________________________________________________________________ Marital Status: Name of Spouse: Marriage Date: Do you have children? No Yes Place of baptism: Person that baptized you: Work Phone: Birth Date (mm/dd/yyyy): Mobile Phone: Male Female First Name: Age: Middle Name:
Current Ministry/Committee Involvement(s): Ministry/s you want to be involved: Ushering Transportation Worship&Music Kids Ministry Youth Decoration Documentation Program Finance Prayer
Church Planting/Evangelism Maintenance Food Special Occasions Please indicate other ministry: _________________
I do certify, with my signature affixed hereunder, that all information furnished herein are true to the best of my knowledge.
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Signature over PRINTED NAME
This covenant I make, with my signature affixed hereunder, in the presence of Almighty God, the Searcher of all hearts, with a true intention to fulfill my obligations, as I shall answer at the Last Day, when the secrets of all hearts shall be disclosed. I most humbly beseech the Lord to strengthen me by His Holy Spirit for this end, and for His glory and honor.