Membership Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
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Employer/Occupation
*
Work Phone Number
*
Please enter a valid phone number.
Can you be contacted at work?
*
Please Select
Yes
No
*We will only contact you at work in extreme emergencies*
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Date of Birth
*
-
Month
-
Day
Year
Martial Anniversary
-
Month
-
Day
Year
Martial Status
*
Please Select
Single
Married
Divorced
Widowed
Please list the names, age, and DOB of your children that will be attending NDCC:
*
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When were you born again?
*
-
Month
-
Day
Year
Water baptized (full immersion)?
*
-
Month
-
Day
Year
Date
Have you received the baptism of the Holy Spirit since you believed?
*
Yes
No
Will you be faithful to attend regular services?
*
Yes
No
Will you faithfully tithe & financially contribute to this ministry?
*
Yes
No
Have you ever had an introductory course in Christian doctrine?
*
Yes
No
Have you read all the information in this packet?
*
Yes
No
Do you agree with our Statement of Faith and Policies?
*
Yes
No
What are your expectations from your local church?
*
*If you have any questions, please direct them to the Pastorship.
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I have read the Membership Handbook and have completed the Membership program of New Destiny Christian Center. I hereby confirm that the above information is accurate. If any of these answers change over the course of time, I will notify the Pastors or office personnel.
Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
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Have you ever been convicted of a crime? YES or NO. If so, explain.
*
Have you ever been convicted of a crime?
*
Yes
No
If so, explain.
*
Do you use alcohol or other illegal drugs?
*
Yes
No
Are you presently a member of a secret organization such as a Masonic Lodge?
*
Yes
No
I hereby confirm that the above information is accurate and that by filling out this application, I am agreeing that I desire to live by the standards of this house and submit myself to spiritual authority and accountability.
Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
Submit
Should be Empty: