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RMC Membership Information Form - MIF
Please fill out the membership application below.
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* Indicates required question
First Name:
Last Name:
Spouse’s First Name (if applicable)
*
Your answer
Address:
City: State: Zip Code:
*
Your answer
Home#:
Primary Mobile#:
Secondary Mobile#:
*
Your answer
Do you want to receive text messages?
*
Yes
No
Primary email:
Secondary email:
*
Your answer
Birthdate:
Spouse Birthdate (if applicable):
*
Your answer
Have you ever been baptized?
*
Yes
No
If yes, when & where were you baptized?
*
Your answer
Former Church Affiliation?
Location:
*
Your answer
Do you have steady employment?
*
Yes
No
Looking/In Transition
Retired
Does your spouse have steady employment?
*
Yes
No
Looking/In Transition
Retired
N/A
If no, are you interested in being employed? If so, provide skills or experience:
*
Your answer
Do You Have Children?
*
Yes
No
NA
How many children?
*
Your answer
Name of Children
Birth Date(s),:
*
Your answer
Name of Children
Living in the Home:
*
Your answer
Describe special talents you have.
*
Your answer
By completing this application, I am indicating a desire to become a faithful member of Robbins Memorial Church of God in Christ.
*
Yes
No
Signature: Date:
*
Your answer
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