The WORD Christian Center Membership Application
The WORD Christian Center Membership Application

* First Name:
* Last Name:
* Address:
* City:
* State / Province
* Zip Code:
* Phone:
* Email:
Date of Birth
Wedding Anniversary Date
Employer & Occupation

Spouse & Family Information
* Spouse Full Name
* Date of Birth
Cell Phone
E-mail Address
Employer/Occupation
Children Names (living w/you) .... Age ..... Birth Date ..... Male/Female

Gifts Talents Skills
Please list any Gifts, Talents, Skills, or Interest that you have that would be beneficial to church.

Commitment To Be Faithful to the Lord & the Church
Have you received Jesus Christ as your personal Lord and Savior?
Yes
No
* Do you understand that membership does not mean salvation?
Yes
No
* Will you actively support the vision of the pastor and the church with your prayers, financial support, attendance, and service to others?
Yes
No
* Will you commit to be a consistent tither?
Yes
No
* Date
Your submission of this application will serve as an electronic signature that you have made the decision to become an active member of The WORD Christian Center. You will be notified of the status of your application within 72 hours.

* Indicates required entry field