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Application for Church Membership
First Assembly of God, Fort Myers, FL
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Application Date
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MM
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DD
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Name (First Middle Last)
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Your answer
Campus:
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Central
Cornerstone
Spanish
Applying for:
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Member
Associate Member
Junior Member
Your Email Address:
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Your answer
Date of Birth:
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Age
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Your answer
Marital Status:
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Single
Married
Divorced
Widowed
Remarried
Home Address (Street, City, State, Zip)
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Your answer
Winter Address, if applicable (Street, City, State, Zip)
Your answer
Local Phone number
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Your answer
Winter Phone number, if applicable
Your answer
Spouse's Name, if applicable
Your answer
Children's Names, if applicable
Your answer
Names of Parents (Junior membership only):
Your answer
Employer:
Your answer
Employment Status:
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Full time
Part time
Retired
Employer Address:
Your answer
Please answer the following questions completely.
(Questions 1-13)
1. (a) Have you accepted Jesus Christ as your Savior and allowed Him to be Lord of your life?
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Yes
No
Required
1. (b) Date you accepted Christ:
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1. (c) Please give the details of your initial experience.
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Your answer
2. Have you been baptized (by immersion) according to Matthew 28:19?
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Yes
No
Required
3. Have you received the baptism of the Holy Spirit according to Acts 2:4 with the evidence of speaking in tongues?
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Yes
No
Required
4. Do you believe in the scriptural plan of tithing according to Malachi 3:10, 1 Corinthians 16:2, Luke 11:42, and Matthew 5:20?
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Yes
No
Required
5. As a member, would you support the church faithfully with your tithes and offerings?
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Yes
No
Required
6. Will you be faithful in attendance to the regularly scheduled services of First Assembly?
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Yes
No
Required
7. How long have you attended First Assembly?
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Your answer
8. (a) Are you transferring from another church?
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Yes
No
Required
8. (b) If yes, what is the name of the church from which you are transferring?
Your answer
8. (d) If yes, when?
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9. Will you do all that you can to promote unity and harmony in the church, shunning all unholy conversation and discord?
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Yes
No
Required
10. As a representative of this church and of Christ, will you conduct your personal life in such a way that you can present your body and mind to God as a living sacrifice, holy and acceptable to Him?
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Yes
No
Required
11. Are you willing to be involved and/or already serving in ministry that will enhance your abilities and talents?
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Yes
No
Required
12. In what area(s) of church ministry do you have the most interest?
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Your answer
13. Please list any special talents, skills, or interests that you have that you believe God could use.
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Your answer
Hearing and understanding the provisions of membership as stated in the Constitution and Bylaws of First Assembly of God, 4701 Summerlin Road, Fort Myers, Florida...
I hereby request to become a member of First Assembly of God
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Please digitally sign (type your name and today's date) here:
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Your answer
FOR OFFICE USE ONLY: Received letter of transfer?________________________ Date received ___________________________________________________________ Date of membership class: ______________________________________________ Date application reviewed by Church Council:____________________________ ___Accepted ___To be reviewed ___Not approved Date:___________________________________________________________________ Church Council Secretary signature:______________________________________ Date:___________________________________________________________________ Senior Pastor signature:_________________________________________________ Date:___________________________________________________________________
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