NEW MEMBERS QUESTIONNAIRE
Name
*
First Name
Last Name
Location
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Phone Number
Email
*
example@example.com
TicTok username
IG username
Age group (Pick from drop down)
*
Under 12
13 - 18
19 - 29
30+
Current Situation
*
In School
In College
Working
Not Working
What ministry would you like to be a part of?
Do you attend a home church?
Marital Status
*
Single
Engaged
Married
Separated
Divorced
Widow(er)
PERSONAL TESTIMONY
Have you received Jesus Christ into your life as your Lord and Savior?
*
Yes
No
Not Sure
Are you familiar with the five ministry roles of Apostle, Prophet, Teacher, Pastor, and Evangelist found in the book of Ephesians 4?
*
Yes
No
Have you been baptized?
*
Yes
No
Additional Comments
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Submit
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