KNCSB Petition for Affiliation Application

Petitionary Letter for Affiliation

This form serves as an official request for your affiliation with Church Forward: Kansas-Nebraska Convention of Southern Baptists (KNCSB). It states your church's desire to partner with other like-minded churches to see others come to know Christ in Kansas and Nebraska. We look forward to the potential of cooperating together for the Gospel!
Check the following statements showing agreement in order to partner and cooperate with the KNCSB.
Please complete the information below:
Pastor's Name

First NameLast Name
Pastor's email address
example@example.com
Pastor's Phone Number
Format: (000) 000-0000.
Church Name
Church Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Mailing Address (if different than above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church's EIN/Federal Tax ID # (9 digit #XX-XXXXXXX)
Are you affiliated with your Local Association?
We, the undersigned, affirm the above statements and request, on behalf of our congregation, to become a cooperating church in the Kansas-Nebraska Convention of Southern Baptists.
Pastor's Signature
Representative of Church Body
Representative of Church Body Name
Please upload your current Constitution and Bylaws here.

Cancelof
Should be Empty:

Petitionary Letter for Affiliation