NC Baptists Church Affiliation Application

NC Baptists Church Affiliation Application

Thank you for your interest in affiliating your church with the Baptist State Convention of North Carolina. By affiliating, you join us as a movement of churches on mission together!
Is your church under 5 years old?*

Yes, it is under 5 years old.No, it is 5 years old or older.
Church Name*
Church Website
Church Contact Email
Church Phone Number*
Church Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
Same Address

Church mailing address is same as physical address
Church Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Language*
Primary Ethnicity
For statistical purposes only
Other Language
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Other Ethnicity
Is your church multi-ethnic?*

YesNo
Please list the ethnicities:
For statistical purposes only
Pastor Name*

First NameLast Name
Pastor Email*
example@example.com
Pastor Phone Number*
Please enter a valid phone number.
Pastor Address*

Street Address

Street Address Line 2

CityState

Zip Code
Treasurer Name*

First NameLast Name
Treasurer Email*
example@example.com
Treasurer Phone Number*
Please enter a valid phone number.
Treasurer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this church a satellite or campus church?*

YesNo
According to the church bylaws, has this church (or church planting core) voted to affiliate with NC Baptists (BSCNC)?*

YesNo
Baptist Faith and Message 2000*

I acknowledge that I have read and agree with the Baptist Faith and Message 2000.
The Baptist Faith and Message can be found here.
Pastoral Guidance Statement*

I acknowledge that I have read and agree with the Pastoral Guidance Statement.
The Pastoral Guidance Statement can be found here.
Baptist Faith and Practice*

I affirm the church named above agrees to demonstrate a faith and practice that closely identifies with Baptist beliefs and distinctives.
The convention has identified the Baptist Faith and Message 2000 as its doctrinal guideline for missions and ministry.
Are you part of an association or network?*

YesNo
Please enter the name of the association or network:*
Date of Incorporation*

MonthDayYear
If you have not incorporated yet, please enter the date of your first meeting.
EIN (Tax Identification Number)*
Is this a new church plant?*

YesNo
Will you be requesting funding support?*

YesNo
Sending Church Name*
Sending Church City and State*

Street Address

Street Address Line 2

CityState

Zip Code
Sending Church Contact Name*

First NameLast Name
Sending Church Contact Email*
example@example.com
Please note that a contribution to the Cooperative Program is required for affiliation.
Method of Giving*

OnlineMail a Check
To give your contribution of at least $75 online, please go to ncbaptist.org/give and select New Church Plant in the Search by Church Name box.
To give online, please go to ncbaptist.org/give and select New Church Partner in the Search by Church Name box.
To give your contribution of at least $75 by check, please visit this page to download a remittance form, which should be printed out and mailed with the check. Please make the check payable to BSCNC and include "Church Planting Affiliation" in the memo line, and ensure that the funds are directed to the Cooperative Program on the remittance form.

The check and remittance form can be mailed to:

NC Baptists
Attn: Accounting / Affiliation
205 Convention Drive
Cary, NC 27511

Please upload a photo of the check below before mailing.
To give by check, please visit this page to download a remittance form, which should be printed out and mailed with the check. Please make the check payable to BSCNC and include "New Affiliation" in the memo line, and ensure that the funds are directed to the Cooperative Program on the remittance form.

The check and remittance form can be mailed to:

NC Baptists
Attn: Accounting / Affiliation
205 Convention Drive
Cary, NC 27511

Please upload a photo of the check below before mailing.
Contribution Amount*
Receipt of Giving*

You should have received a confirmation after your contribution. Please save that as a .pdf file and upload it here.
Cancelof
Photo of Check*

Cancelof
Convention Contact Person*
Other Convention Contact Person*

First NameLast Name
Other Comments
Should be Empty: