Membership Application Please Fill out the Following Form and click SubmitNote: For married couples, a separate form must be submitted by each individual Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth MM DD YYYY Occupation Employer(s) Names(s) and Address(es) If Student, School Name, City, Major, and Grad Date FAMILY INFORMATION Marital Status * Single Married Widowed Divorced Name of Spouse * n/a if not applicable First Name Last Name Anniversary Date MM DD YYYY Children's Names, Birthdates, Ages, and Grade Only one spouse needs to include all the children's information. Birthdates are never published but are very helpful in estimating School of Discipleship classes. COMMUNITY Are you currently attending our Men's or Women's Bible Study? * Yes No I am not attending but I would like to, please contact me with more information. Are you interested in knowing more about Christian Education opportunities? * Yes No MEMBERSHIP Means of Membership * There are three means of joining Bethany, please read the descriptions and then check the appropriate box below. - I have not joined a church since receiving Christ and I am joining Bethany by profession of faith in Christ. (This means that you became a Christian through some connection with Bethany and/or this is your first time joining a church.) - I am a member in good standing of another church and I wish to have Bethany write my former church to request a letter of transfer. - Neither of the first two statements would be true of me. Therefore, I am joining Bethany by reaffirmation of faith. (This means that you have been a member of a church, and for whatever reason, are no longer in contact with them or on their membership rolls.) Profession of Faith Letter of Transfer Reaffirmation of Faith If you need a Letter of Transfer please provide: Name and Complete Address of Church, Email or Website: BAPTISM & COMMUNION Baptism * I have never been baptized. I have been baptized. My baptism was performed in “the name of the Father, Son, and Holy Spirit” * Yes No Please describe the circumstances of your baptism (i.e., in a church service, at home, camp, etc.): Please give the date, church, city, and name of the person who performed your baptism, to the best of your knowledge. Children's Baptism information For each of your baptized children, please give the date, church, city, and name of the person who performed their baptism, to the best of your knowledge. Have any of your children been received to the Lord's Supper through a profession of faith? INTRO TO BETHANY & MEMBERSHIP CLASS Have you attended the Introduction to Bethany Class? * Yes No Please indicate the month and year you attended the Membership class YOUR STORY Testimony Please provide a brief account of your conversion to faith and repentance in Jesus Christ, i.e., your testimony. Briefly explain how and when God graciously brought you to Himself. If raised in a Christian home, please describe that childhood experience as well. Thank you for writing your story – it will help the pastor to get to know you better. This and all of your membership materials will be kept confidential. CHURCH INVOLVEMENT Please tell us what educational, military, and job training you may possess that can be used here at the church. Ex: accounting/bookkeeping, child care, computer skills, carpentry, artistic/music, office volunteer, etc. * Please check the boxes of the ministries in which you would like to be involved? Youth Ministry Youth Group Nursery Ministry Children's Sunday School Women's Ministry Men's Ministry Adult Sunday School Music Ministry Tech & Sound Ministry Hospitality Team Celebrate Recovery Please share any other special ministry experience or interests. * I am presently serving and participating at Bethany in the following ways: * I would like to be involved at Bethany in the following ways: * What brought you to Bethany? * Some of the people I know best at Bethany are: * Other Comments: Thank you!
