Membership

First Name

Middle Initial

Last Name

Home Address

Address Line 1

City

State

Zip Code

Your Email

Cell Phone

Home Phone

Gender (Male or Female)

Age

Family size

Family Details

Married
Single
Widow

Spouse Name ( If you are Married)

First

Last

List Your Children

Child #1 Full Name

Age

Gender (M or F)

Child #2 Full Name

Age

Gender (M or F)

Child #3 Full Name

Age

Gender (M or F)

Child #4 Full Name

Age

Gender (M or F)

How long have you been attending our church?

Less than a year
1-2 years
2-3 years
More than 3 years

Most recent Church you were a member of?

In What capacity did you serve in your previous churchs?

In What Capacity do you feel called to serve here now?

When did you accept Jesus Christ as your savior?

When and where did you receive water baptism?

Applicant Signature

Clear Signature

Date / Time

For Pastor/Elder Use

Reviewed by

Date / Time (copy)

Elder/Pastor Signature

Clear Signature

List Your Children

For Pastor/Elder Use

Articles

Prophet Abebe Haile Mariam

ያእቆብ ማነው? ዶ/ር ኢያሱ ፈረንጅ

Prophet Abebe Haile Mariam

ያእቆብ ማነው? ዶ/ር ኢያሱ ፈረንጅ

Pastor Tariku Eshetu ለተጠራችሁለት ጥሪ ተገቢውን ኑሮ ኑሩ ትምህርት 2 የመንፈስን አንድነት ለመጠበቅ እንትጋ