Membership Application Form

E.C.O.C. new member and E-church online registration

Please answer all questions shown below
New Member Orientation

A New Member Orientations, which are 30-minute Zoom sessions discussing the goals and expectations of membership, are scheduled for the first Tuesday of every month. Your membership application will be approved upon completion of this form and you the new member class. Information regarding the time and date of your orientation will be forwarded to you at the email address noted below.
I understand that my membership is not confirmed until I have completed this form and the New Member Orientation Class.
Head Of Household Information
Gender
Name

First NameLast Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cellular Number
Format: (000) 000-0000.
Race/Ethnicity

Other
Age Range
Marital Status
Number of children under 21
Occupation?
Name of Last Church Attended?
Reason for leaving?
How did you hear about our church?
How will you be attending church?
Yes, I would like to be added to our church's email list?
Have you been baptized in the name of Jesus Christ?
Have you received the Holy Spirit as described in Acts chapters 2, 8, 10 and 19?
I certify that the information is complete and accurate to the best of my knowledge:
Date of commitment

MonthDayYear
Date
Signature
Should be Empty:

E.C.O.C. new member and E-church online registration