HCICC Membership Form

Membership Form

Welcome To The His Church Family
We're so glad you made the decision to become a part of His Church. We are committed to helping you become all God wants you to be. It is God's desire that you connect with a local church and fellowship with other believers. We understand that distance, health, and other circumstances may impact your ability to physically attend church at times. Keeping this in mind, we still encourage you to become a member and attend our in-person or our virtual services. Welcome to the His Church Family!

Benefits of Membership
- Regular updates on what is happening here at His Church.
- Connect with other church members.
- Biblical instruction and inspiration through our weekly worship services and bible study.
- Spiritual covering under Pastor King & Ritsuko Rhodes.
  and much more....
Please take a moment to complete and submit this form. Thank you.
Date*

MonthDayYear
Date
How Did you hear about us*

Friends/Familyhcicc.orgFacebookYouTubeInstagramMailerSign/Drive ByTelevisionOther
Name*

PrefixFirst NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Gender*
Email*
example@example.com
Mobile Number*
Please enter a valid phone number.
Status*

SingleMarriedWidowedDivorced
Anniversary Date

MonthDayYear
"If Married"
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Spouse Name

PrefixFirst NameMiddle NameLast Name
Date of Birth

MonthDayYear
Gender
Email
example@example.com
Mobile Number
Please enter a valid phone number.
Children Information

Minor's Only
Child/Youth     Son   Daughter   Birth Date
Child/Youth     Son   Daughter   Birth Date
Child/Youth   Son   Daughter   Birth Date
Child/Youth     Son   Daughter   Birth Date
Child/Youth     Son   Daughter   Birth Date
Child/Youth     Son   Daughter   Birth Date
Have you accepted Jesus Christ as your Lord & Savior?*
Have you been Water Baptized In the Name of Jesus (In The Name of the Father, the Son, and the Holy Ghost?*
Did you attend Church prior to joining HCICC? Yes No*
If "Yes" Church Name: From: To:
Where did you serve in your former church if any?
WHAT WE BELIEVE

ONE GOD, eternally existent in three persons: Father, Son, and Holy Spirit (Deuteronomy 6:4, Matthew 28:19, Mark 12:29)

THE BIBLE as the inspired and infallible Word of God (2 Timothy 3:15-16)

The VIRGIN BIRTH of Jesus Christ, His victorious atoning death, bodily resurrection, ascension, and second coming (Isaiah 7:14, Romans 8:34, Acts 1:10-11

SALVATION through faith in Jesus Christ (I John 1:7, Romans 5:8-9, Ephesians 2:8)

BAPTISM BY IMMERSION for repentant believers (Matthew 28:19)

Marriage BETWEEN One Man and One Woman (Genesis 1:26-28, Matthew 19:4-6)

ONLY TWO GENDERS, MALE & FEMALE (Genesis 2:4-25, Genesis 5:2, Mark 10:6)

DIVINE HEALING through the atoning work of Christ on the cross (Isaiah 53:4, Matthew 8:16, I Peter 2:24)

The BAPTISM WITH THE HOLY SPIRIT subsequent to the new birth with the initial evidence of speaking in tongues (Acts 1:8, 2:4, 10:44-46, 19:1-6)

The PRIESTHOOD of the believer (I Peter 2:5-9, Revelation 1:5-6)

The SANCTIFYING POWER of the Holy Spirit that enables a believer to live a holy life (I Corinthians 6:11, Hebrews 12:14, I Peter 1:15-16)

The GREAT COMMISSION to preach the Gospel to every creature (Mark 16:15)

The PRACTICE OF WORSHIP with one’s total being as set forth in the Word of God (Acts 24:14, Eph. 5:18-19, Psalms 150)

In the RESURRECTION of both the saved and the lost, the one to everlasting life, the other to everlasting damnation (I Thessalonians 4:13-18, Revelations 20:13-14)

The ULTIMATE TRIUMPH of the Church and the Kingdom of God (Matthew 16:18, Isaiah 60:1-5)
His Church International Christian Center is My Church, I am in agremment with HCICC Statement of Faith. When made avaible, I will comlete the rquiered New Members Classes. I affirm to the best of my abilty before the Lord Jesus Christ that:

I will be a Functioning Church Member

I will be a Unifying Church Member

I will be Not let My Church be about My Prefernces & Desires

I will Pray for My Church members and leaders

I will lead my Family to be Healthy Church Members

I will Treasure His Church Membership as a Gift.

I will suport My Church with my time, talents, & resorces
Signature*

Clear
Spouse Signature

Clear
OFFICE USE ONLY
Approved By:
Date

MonthDayYear
Date
Have they been connected to His Church Connect?

YesNo
Members Class Start Date

MonthDayYear
Members Class Start Date

MonthDayYear
Members Class Start Date

MonthDayYear
Spouse
Members Class Completion Date

MonthDayYear
Spouse
Remarks
Should be Empty:

Membership Form

Children Information

WHAT WE BELIEVE

OFFICE USE ONLY