BE A PART OF WHAT GOD IS DOING

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Spouse's Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Other Phone

(###)

###

####

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Are you on Facebook? *

Yes

No

I would be able to check an online scheduling program from a computer or smartphone for seeing when I am scheduled to serve. *

Yes

No

I don't have access to a computer, a smartphone, e-mail, or texting, and would need a paper copy of the schedule mailed to me. *

Yes

No

What is your availability? *

Check all that apply.

Wednesdays

Sundays

Special Saturday Night Services

Any Special Events

Do you believe Jesus was the Son of God, died for the sins of man, and rose from the dead? *

Yes

No

Do you believe Jesus is the only way to God and eternal life? *

Yes

No

Have you personally committed your life to Jesus Christ and are you willing to follow His leadership? *

Yes

No

Have you ever been convicted of a crime? *

Yes

No

Have you ever been convicted of a crime involving abuse, mistreatments, or sexual misconduct with a child? *

Yes

No

Name *

First Name

Last Name

Date *

MM

DD

YYYY