Membership Application Step 1 of 7 - Personal Information 14% Personal InformationName* First Last Sex* Male Female Birthdate* MM slash DD slash YYYY Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Email Address Confirm Email Address Home Phone*Cell Phone* Marital Status and FamilyCurrent Marital Status*SingleMarriedWidowedDivorcedSeparatedMarried Date* MM slash DD slash YYYY If any prior marriages, please explain your marital history:*Children Living at Home:NameAgeBirthdate (mm/dd/yyyy) Add RemovePlease add (+) additional line(s) as necessary SalvationHave you trusted Jesus Christ as your Lord and Savior?** Yes No Not Sure Have you been baptized as a believer by immersion?* Yes No Baptism Location*Baptism Date* MM slash DD slash YYYY Membership HistoryHow long have you been attending Gracelife Bible Church and for what reason did you first attend?*Are you presently – or were you previously – either a member or regular attender of another church?* Yes No Name of Church*Address of Church* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Reasons for Leaving:*Are you currently – or were you when you attended – a member in good standing?* Yes No If no, please explain:*In what ways did you serve in the church listed above?* Membership RequirementHave you thoroughly read our Statement of Faith?* Yes No Do you understand and agree with it?* Yes No If there are any areas of misunderstanding or disagreement, please state briefly what they are*Have you thoroughly read the Bylaws of Gracelife Bible Church?* Yes No Do you agree to abide by them?* Yes No Please describe, in your own words, your understanding of “submission to the loving rule of the elders over you.” (Hebrews 13:17):*Are you willing to submit to that loving rule?* Yes No Did you attend Gracelife 101?* Yes No Did you read through Hallmarks of a Biblical Church Member by Tom Pennington.* Yes No According to 1 Peter 4:10 we are to use whatever gift(s) we have received to serve others; each one of us has been given gift(s), do you know what your gift(s) are? Have others confirmed these are your gift(s)? Please list those gift(s):Please list the areas of ministry within Gracelife Bible Church in which you are interested in serving: Personal TestimonyGive a brief description of your life before salvation.*How did you become a Christian?*Give a brief description of your life since you’ve come to Christ.*In what ways do you cultivate your walk with God?*Who is Jesus Christ?* Interview and SignatureWhat are some convenient times for us to schedule your membership interview?*Name*Date*This field is hidden when viewing the formCAPTCHACommentsThis field is for validation purposes and should be left unchanged.
