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23
Questions
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1
Name
Please add one person's first and last name. If there are multiple people joining, please enter their names and birth dates in the following page.
First Name
Last Name
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2
Spouse or Other Adult Family Member
If none, slick "next". If you have children, there will be a table to fill in later in this survey.
First Name
Last Name
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3
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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4
Phone Number (Main)
Please enter the best phone number to reach you.
Please enter a valid phone number.
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5
Additional Phone Number
If you have a secondary number, please enter that here.
Please enter a valid phone number.
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6
Primary Email
This is for our church records. You will be asked later in the survey if you would like to add your email address(es) to the church communication email list.
example@example.com
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7
Additional Email
If you have a secondary email, please enter that here.
example@example.com
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8
Marital Status
Single
Married
Widowed
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9
If you are married, please share your anniversary date below.
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10
Occupation/Profession
Please add what you currently do. You can also add here what your spouse or other family members do.
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11
Children living with you:
Name
Date of Birth
Grade
Baptized?
Child
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Child
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Child
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Child
Child
Child
Name
Row 0, Column 0
Date of Birth
Row 0, Column 1
Grade
Row 0, Column 2
Baptized?
Row 0, Column 3
Name
Row 1, Column 0
Date of Birth
Row 1, Column 1
Grade
Row 1, Column 2
Baptized?
Row 1, Column 3
Name
Row 2, Column 0
Date of Birth
Row 2, Column 1
Grade
Row 2, Column 2
Baptized?
Row 2, Column 3
1
of 3
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12
How long have you been attending FUMC Georgetown?
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13
Which service/services do you attend?
8:30am Sanctuary
10:45 MCMC
11:10am Sanctuary
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14
How did you hear about us?
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15
Would you like us to add the email(s) you provided to our church communications email list?
Yes
I'm already on the list!
No
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16
Do you currently participate in a Sunday school class, small group or ministry at FUMC Georgetown? If so, which one(s)?
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17
Sunday you would like to formally place membership with us at church:
*
This field is required.
This entails walking up to the front of the church during the service of your choice, answering some questions in front of the congregation and then done! If you would really rather not join in this traditional way, please add to the comments to the "comments/questions" block at the end of this online form.
-
Date
Year
Month
Day
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18
At which service would you like to join?
8:30am Sanctuary
10:45am MCMC
11:10am Sanctuary
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19
How will you be joining FUMC Georgetown?
Transfer from another United Methodist Church
Transfer from another denomination
This will be the first time I/we have joined a church, or it has been more than two years since I/we were active in a church (this is called Profession of Faith).
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20
If you are transferring membership from another United Methodist Church, please let us know which one.
If not, please leave blank.
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21
Would you or a member of your family like to be baptized?
If you select yes, we will contact you to discuss it with you and arrange the details.
YES
NO
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22
How can we help you connect to your new church? Please indicate any and all of the areas you are interested in learning about:
Sunday School Classes for Adults
Senior Adults: outings, group meetings, other activities
Weekday Adult Small Groups and Classes
Children's Ministries
Sunday School Classes for Youth
Student Ministries for Youth (classes, mission trips, events, etc.)
Worship and Fine Arts: chancel choir, orchestra, handbells, band, vocals, visual art (for worship and events)
Serving in Worship: IT/Sound, usher, greeter, communion server
Hospitality at Events
Church Office Volunteer
Congregational Care
Mission and Outreach (local, regional and global)
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23
If you have any other areas of interest or any questions or comments, please add them below.
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