Bible Way Church Membership Application

Name:

First NameLast Name
Home Phone:
Work Phone:
Cell Phone:*
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address:*
Occupation*
Marital Status*

SingleMarriedDivorcedWidowedRemarried
Church previously attended:*
Are you still a member of this, or another church?

YesNo
If Yes, please give the church's name and address:
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please give a description of your relationship with Jesus Christ in the following areas:
- When and how did you come to know Jesus Christ as your Savior? (Include in your remarks your understanding of what it means to be a person who has come to a saving knowledge of Jesus Christ. Also include any Scripture passages or verses that are significant to your understanding of salvation.)
- What has God used to grow you in your faith?
Have you been baptized since you became a Christian?*

YesNoImmersionSprinkling
What way(s) do you desire to serve within our church family (based on your interests, abilities, gifts, and time)?*
Acknowledge my commitment to Jesus Christ, and recognizing my need of fellowship and opportunities for service. I hereby make application membership at Whitney Baptist Church.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: