UCLEWMDMembership

Church/Location

Example: Springfield UCLE Church or Springfield, MI

First Name

Middle Name

Last Name

D.O.B.

Birth Place

Spouse Last Name

Spouse First Name

Email

example@example.com

Address

City/State

Zip Code

Contact Phone

Area Code - Example: (123)Phone Number - Example: 555-5555

Alternate/Cell Phone

Area Code - Example: (123)Phone Number - Example: 555-555

Marital Status:

Educational Level:

Occupation/Job

Skills/Interest/Hobbies

Church member since

Baptized:

YesNo

Holy Spirit

YesNo

My address and phone number can be printed in the WMD phone directory.

YesNo

Terms of Agreement

1. As a member of the United Christians Liberty Evangelical Church, I am automatically affiliated with the Women's Ministry Department. I understand that I shall complete and submit this information form to the Board of Coordinators of my local church (Article V. Section 1.4a)

2. I understand that I shall support Women's Ministry Department and it is my responsibility to participate in the activities or trainings that Women's Ministry Department may have within the local church of the Main Office. (Article V. Section 1.4b)

3. As a member. I understand that I have the right to vote or campaign for certain positions within UCLE church Women's Ministry Department if meet the qualifications stated in the Women's Ministry Department's bylaws or policies. (Article V. Section 1.2, 1.3)

4. I understand that it is my responsibility to keep my membership in good faith. I may not oppose or create any confusion or division among the leaders or members within Women Ministry Department. (Article v. Section 1.3e)

5. I understand that if fail to cooperate with Women's Ministry Department's bylaws or policies, it may cause termination of my membership. (Article VII, Section 1.1a-d)

6. I understand that it is my responsibility to notify the local Women's Ministry Department of any changes such as: change of address, cancellation of membership, and other relevant information.

I, herein, read, agreed and undersigned to abide by the UCLE church Women's Ministry bylaws and policies.

Signature

Date