APPLICATION FOR MEMBERSHIP

APPLICATION FOR MEMBERSHIP
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number (indicate cell/home)*
Email*
example@example.com
Birthday*

MonthDayYear
Date
Marital Status*

SingleMarriedWidowedDivorced
Anniversary Date (If Applicable)

MonthDayYear
Date
Date of Conversion (When you became a Christian)*
Where were you saved? *
Please tell us a little about your conversion experience: *
Have you been water baptized? *
If Yes, When & Where?
If No, are you wanting to be water baptized?
Are You filled with the Holy Spirit?*
Do you speak in tongues?*
If not yet filled, are you seeking the Holy Spirit?
Are you a member of another church/denomination?*
If yes, which one? (please include the name, pastor's name and contact number)
Have you read the "Statement of Fundamental and Essential Truths"?*
Have you read the "Local Church Constitution"?*
Do you agree to support and abide within the contents of both of these?*
STATEMENT OF FAITH

LOCAL CHURCH CONSTITUTION
I resolve, with God's help, to serve the Lord Jesus Christ, to try keep His commandments, attending services regularly and to take an active part in the church's work. I will seek to lead a consistent Christian life, to honour Christ in my relationships. I will support my church following the scriptural method of giving my tithes and offerings. I understand that I will be considered a member as long as I live a consistent Christian life, following biblical guidelines and standards, and am in agreement with the principles, practices, and doctrines of the Pentecostal Assemblies of Canada, and am in regular attendance at services unless hindered by sickness or other justifiable reasons.
Date*

MonthDayYear
Date
Signature*

Clear
As part of His church we all have important gifts. We want to give you opportunity to be involved in the works of growing the Kingdom. Please indicate where you feel you would possibly be involved.
Ministry Areas

Women's MinistryMen's MinistryUsheringYouth MinistryMusic MinistryOutreach MinistryVisitation or Hospitality MinistryKid's MinistryOther
Should be Empty: