FCOG New Member Form

Membership Information Form

If you are electing to become a member of First Church of God Christian Life Center please complete this form.
The First Church of God Christian Life Center has many ministries that we would like to extend to you and your family.

We provide you with an Annual Contribution Statement which may help you file taxes. We want to make sure your giving (tithes and offerings) is recorded to reflect your preference for tax filing and credited properly to you.

The information in our database helps us to remember more about you, your family, and the dates and ministries that are important to you. We certainly don’t want you to feel uncomfortable in any way, so feel free to leave blank any spots for information you would rather not share.
Have you been a member of any other church in the last year? If so, where?
Church name & Pastor's Name
Name*

First NameLast Name
Middle Initial
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone*
Alternate Number
Gender

MaleFemale
Email
example@example.com
Education

High School StudentCollege StudentGraduate StudentNo longer in school
School Name
Employment Status

EmployedUnemployed
Occupation
Marital Status

SingleMarriedWidowedDivorced
Please complete the following imformation for your household.
Please specify how your Contribution Statement should reflect your tithes/offerings.

IndividualShared (with spouse)
Spouse's Name

First NameLast Name
Wedding Anniversary
Is your spouse a FCOGCLC member?

YesNo
Do you have children that will be joining you as well?*

YesNo
Child's Name

First NameLast Name
Middle Initial
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Grade
School
Child's Name

First NameLast Name
Middle Initial
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Grade
School
Child's Name

First NameLast Name
Middle Initial
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Grade
School
Child's Name

First NameLast Name
Middle Initial
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Grade
School
Additional Information
Membership Status
Please select one option from the menu above.
Have you been baptized?
What are some skills/gift that you have to add to the body of Christ?
ex. organizing, decorating, carpentry, etc.
What areas of ministry would you like to know more about at FCOGCLC?

Altar MinistryChildren's MinistryCouple's MinistryDiaconate MinistryDance MinistryH.E.R Women's MinistryHealth MinistryHospitality MinistryIntercessory Prayer TeamKohath Cleaning MinistryLegacy Senior's MinistryLevitical SingersMedia MinistrySound MinistryUsher MinistryWatchmen on the WallYoung Disciples Youth Ministry
What brought you to the First Church of God Christian Life Center?
Should be Empty:

Membership Information Form