MLFC Membership Application Form

Spouse's Information

If married, please fill out your spouse is applying for membership or not, and if separated, please still include your spouse's details as you are still legally married.
Is your spouse applying for membership?

Yes No
Name

First Name Maiden Name Last Name
Date of birth

Day Month Year
Date
Gender

Male Female
Nationality
Phone Number

Area Code Phone Number
Email
example@example.com
Occupation
Place of Employment
Position

Household Information
Children's names (only list those under 18 years who will be included in your membership and upload their passport size photos)
Name

First Name Last Name
Gender

Male Female
Age
Birthday

Day Month Year
Date
Name

First Name Last Name
Gender

Male Female
Age
Birthday

Day Month Year
Date
Name

First Name Last Name
Gender

Male Female
Age
Birthday

Day Month Year
Date
Name

First Name Last Name
Gender

Male Female
Age
Birthday

Day Month Year
Date

Additional Information
How long have you lived in the Lusaka area? *
Date of first visit to MLFC? *

Day Month Year
Date
Have you attended church service for a least 3 months? *

Yes No
How were you introduced to MLFC? *
Which Connection Group are you a member of? *
Leader's Name *

First Name Last Name
List the names of churches that you have been a part of before coming to MLFC beginning with the church you first attended. A letter of release is required if you have been a member of another church within Lusaka.

Church Record *

Applicant's Salvation Date *

Day Month Year
Briefly state how you got saved: *
Spouse's Salvation Date

Day Month Year
Briefly state how you got saved:
If you died tonight, where would you go? (applicant) *
If you died tonight, where would you go? (spouse)
If you died tonight and stood before God and He asked you, "why should I let you into heaven?" what would you say? (applicant) *
If you died tonight and stood before God and He asked you, "why should I let you into heaven?" what would you say? (spouse)
Have all those in your family who are seeking membership received Christ?

Yes No
If no, to your knowledge, who has not yet received Christ?
Have you been baptised in water by immersion? (applicant) *

Yes No
Approximate Date *

Day Month Year
Have you been baptised in water by immersion? (spouse)

Yes No
Approximate Date

Day Month Year
Have you been baptised in water by immersion? (children)

Yes No
Approximate Date

Day Month Year

Do you believe in the principle of tithe and offering? Are you willing to faithfully support the ministry of this church with your prayer, dedication, and finances as God enables and directs you?
Applicant *

Yes No
Spouse

Yes No
Why do you feel that you want to enter into a "family" relationship with this church body?
Applicant *
Spouse
STOP AND REVIEW

Please read through your form to ensure that you have responded to all the questions as incomplete application forms will not be processed.
Should be Empty:

Church Membership Application Form