NEW MEMBER INTAKE FORM

NEW MEMBER INTAKE FORM

Crossroads Church
Welcome Home!

God’s message…”Go stand at the crossroads and look around. Ask for directions to the old road, The tried and true road. Then take it. Discover the right route for your souls.” - Jeremiah 6:16a,b from the Message Bible
Date joining*

MonthDayYear
Date
BIOGRAPHICAL & CONTACT INFORMATION

We’re excited to get to know all about you.
Name of Person joining*

PrefixFirst NameMiddle NameLast NameSuffix
Preferred Name/Nickname
Gender*
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary/Preferred Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Phone type*
Additional Phone Number (if applicable)
Please enter a valid phone number.Format: (000) 000-0000.
Phone type
Email*
example@example.com
FAMILY INFORMATION

Tell us a little about your family
Are you joining with any children?*
IF you answered YES to the previous question, please list each child’s: full name, gender, date of birth, and school they attend. IF you answered NO, enter N/A in the text box and move on to the next section. *
Are you married?*
If you are married, please give us your spouse’s name and your wedding date so we can share in anniversaries with you.
YesNo
Are you a widow/widower?*
EMPLOYMENT INFORMATION
Employment Status*
Please share with us where you work, what you do for a living, where you retired from and years of service, or what field of work you’re looking to get employment. *
YesNo
If you answered yes to the previous question, please share with us the details - status, branch, rank, etc. so we can always acknowledge your service at the appropriate time.
YesNo
If you answered yes to the previous question, please share with us your school, your major if applicable and your level (i.e. freshman, junior, etc.).
CHRISTIAN EXPERIENCE
YesNoUnsure
If you answered yes to the previous question, and you are able to remember the date, month, and/or year you accepted Christ, please enter any of that information below. *
If you answered no, please enter N/A
Baptism
Yes, I've been baptizedNo, I need to be baptizedUnsure
If you answered yes to the previous question, please enter when you were baptized. *
If you answered no, please enter N/A
PRIOR CHURCH EXPERIENCE

If applicable
Previous Church & Pastor
YesNo
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Please list the ministries, committees, etc. you served on, or things you participated in previously.
PASSION TO SERVE

The Lord has need of you! We have need of you! We have been saved to serve and there is a place for you to serve with us.
Please list any areas in ministry where you would like to serve.
EXTRAS
Please upload any copies of certifications, licenses, or any other documentation you would like us to have.

Cancelof
Let us know anything else you would like us to know about yourself or your family.
Please list any hobbies, gifts or talents you or your family may have outside of church.
Please upload a headshot photo of yourself that will only be used for recognition services, presentations, and so that our staff can learn faces as they learn names. No filters, please.
WE ARE SO EXCITED THAT GOD HAS LED YOU TO JOIN THIS MINISTRY. WE LOOKING FORWARD TO SERVING YOU, AND SERVING WITH YOU, AND ADVANCING THE KINGDOM OF GOD.

MAY GOD BLESS YOU ANND KEEP YOU IS OUR PRAYER!

- THE ENTIRE MINISTRY OF CROSSROADS CHURCH.
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NEW MEMBER INTAKE FORM

Welcome Home!

BIOGRAPHICAL & CONTACT INFORMATION

FAMILY INFORMATION

EMPLOYMENT INFORMATION

CHRISTIAN EXPERIENCE

Baptism

PRIOR CHURCH EXPERIENCE

PASSION TO SERVE

EXTRAS