APPLICATION FOR FORMAL MEMBERSHIP

Please fill out a separate application for each adult.

PERSONAL INFORMATION

Name

Birth Date

Address

Home phone

Mobil phone

Employer

Work phone

This address will receive a confirmation email

When did you start attending FLAG?

Please check one:

Please select one option.

Married Never Married Divorced/Not Remarried Divorced/Remarried Separated/Not Divorced Widow/Widower

Spouse Name

Spouse Birth Date

Anniversary

All others living in same home with you: List their names, relationship to you and age

Are you a born-again Christian?

Please select one option.

Yes No

When were you saved?

Have you been baptized in water? (Matthew 28:19)

Please select one option.

Yes No

When were you baptized in water (by immersion)?

Have you been baptized in the Holy Spirit? (Acts 2:4)

Please select one option.

Yes No

When were you baptized in the Holy Spirit?

CHURCH ACTIVITY

Date of most recent church membership

Name of church

Address

Please list names and locations of other churches you have attended:

Please list all previous church work or ministry:

By submitting this form you are saying:
Dear Pastor Cortez,

I sense the Lord is adding me to this church (Acts 2:47) and would like to pursue Formal Membership at Family Life Assembly of God. In the meantime, I am committed to faithful giving of God’s tithes and my offerings, faithful attendance to church and serving in ministry at FLAG.

Electronic Signature*

*By entering my name in the box above, I am providing my digital signature to this form.

Today's Date

Description

Please fill out a separate application for each adult.

APPLICATION FOR FORMAL MEMBERSHIP

Description

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