Abundant Life Community Church Membership Application

Fill out and return the following information:
"I have received Jesus Christ as my personal Savior and Lord and I desire to become an active member and support the ministries of Abundant Life Community Church. Therefore, I hereby apply for membership.

• First Name:______________________Last Name:_____________________________

• Date of Birth:_________________________________________________________

• Phone--Home:________________Work________________Mobile:________________

• Address:_______________________________City_________________Zip_________

• Email:________________________Occupation:_______________________________

• Marital Status:___Single ___Married ___Divorced ___Widowed ___Remarried

• Name and Address of the Church you previously attended:

• Church Name:______________________________City/State:___________________

• List Family Members in your current household:

• Name:____________________Relationship_______________Birthdate:__________

• Name:____________________Relationship_______________Birthdate:__________

• Name:____________________Relationship_______________Birthdate:__________

• Name:____________________Relationship_______________Birthdate:__________

• Name:____________________Relationship_______________Birthdate:__________

• Have you been baptized?_________If yes-Date:____________________________
• If you have not been baptized---do you wish to be?-----Yes______No______

• What way(s)do you desire to serve within our Church family based on your interests, abilities,gifts,and time?

• _________________________________________________________________________

• Please attach a copy of your personal testimony of how you came to Christ.

• I have read the Statement of Faith and I agree with the Vision of Abundant Life Community Church.

• Signature:_________________________________________Date:__________________