Name

First

Last

Preferred Name/ Nickname

Date of Birth

Gender

Male

Female

Other

Marital Status

Single

Married

Divorced

Widowed

Spouse's Name (If Applicable)

First Name

Last Name

Children (Names & Ages)

Contact Information

Address

City

State/Province

Zip/Postal

Country

Phone

Email

Preferred Method of Contact

Text

Email

Phone Call

Spiritual Background

Have you accepted Jesus Christ as your Lord and Savior?

Yes

No

Not Sure

Date of Salvation (if known)

Have you been baptized by immersion?

Yes

No

Would you like to be baptized?

Yes

No

Need more info

Membership and Church History

Are you joining by? (Check all that apply)

Previous Church Name and Location (If Applicable)

Reason for leaving previous Church (optional)

Are you currently a member of another church?

Yes

No

How did you hear about Greater Purpose Church?

Ministry Interest & Involvement

Do you have previous ministry experience?

Yes, please explainYes, please explain

No

Areas of Interest (check all that apply)

Professional & Educational Background (Optional)

Current Occupation/Industry

Skills/Talents

Education Level

High School

Some College

College Graduate

Graduate School

Certifications/Training

Emergency Contact

Name

First Name

Last Name

Relationship

Phone

Next Steps

Would you like to receive information about (Check all that applies)

Final Consent

I affirm that the above information is true to the best of my knowledge. I understand that Greater Purpose Church respects my privacy and will not share my information outside the organization without permission.

Signature

Clear

Date

Captcha

Patricia Young

ABOUT PATRICIA YOUNG

Get In Touch