Application for Membership

Application for Membership
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number
Format: (000) 000-0000.
E-mail
example@example.com
Birth Date

MonthDayYear
Anniversary

MonthDayYear
Date
Marital Status

MarriedSingle
Have you been born again?

YesNo
How long?
Could you give a clear testimony to your conversion experience?

YesNo
Have you been baptized (immersed) in water?

YesNo
When?
Are you presently a member of another church?

YesNo
If yes, what church?
Have you informed them of your desire to change churches?

YesNo
Have you completed the new members class at V.F.C?

YesNo
Should be Empty: