Membership Application

Membership Application
DATE:

Month Day Year
Date
Instructions:
1. Applications should be completed by each applicant; (i.e. a husband and wife both need to complete their own application). 2. Please use a pen to complete this form. 3. When finished, please place completed applications in the church information box located on information table.
CONTACT INFORMATION:
Date

Month Day Year
Date
Date of Birth

Month Day Year
Date
Full Name: (Mr., Mrs., Miss)
Home Phone:
Mobil Phone:
E mail:
example@example.com
Home Mailing Address:
River of Life Church location: Calvary Baptist Church 3255 Germanchurch Road Indianapolis, IN 46235
PERSONAL TESTIMONY:
1. Have you received Jesus Christ into your life as your Lord and Savior?

Yes No Not Sure
If "Yes," when?
Not Sure
2. If you answered “Yes” to # 1, what changes in your attitudes, desires, or behaviors have you noticed since becoming a Christian?
3. How would you answer this question. If you were to die right now where would you go, and why do you believe you would go there?
4. Have you been baptized since your decision to receive Christ?

Yes No
MEMBERSHIP INFORMATION:
6. Do you presently hold membership in another Church?

Yes No
If ‘yes,’ please provide the following information:
Church name
Address
Phone
Pastor's name
How long did you attended?
When were you last in attendance?
Your reason(s) for leaving.
River of Life Church location: Calvary Baptist Church 3255 Germanchurch Road Indianapolis, IN 46235
Should be Empty: