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McKinley UMC
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Date
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Name:
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Marital Status:
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Married
Divorced
Widowed
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Address:
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Phone number:
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Email Address
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Date of Birth:
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Place of Work:
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Work Number:
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If under 18, please provide name of Parent/Guardian:
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If Parent/Guardian, do you have children under 18? List name(s)/age(s)/ birthdate(s)
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Have you been baptized?
Yes
No
Not Sure
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Type of membership requested:
Transfer
Confession of Faith
Recommitment
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If you are transferring, in what way did you participate in your previous congregation?
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Previous church Name/Address/Phone Number/Pastor:
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Please list the areas of spiritual gifts or interests that you might want to share with McKinley UMC?
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