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Our next class is on Sunday March 9th
Confidential Membership Form
First Name
Last Name
Email
Phone Number
Date of birth
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Address
Apartment, suite, etc.
City
State
Postal / Zip Code
Gender
Male
Female
I'd rather not say
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
If you are married or engaged, what is the name of your spouse or fiancé?
Do you have any children?
If you answered yes, please let us know their name(s) and birthdate(s).
Please state the name(s) of the person(s) in your current household and their relation to you.
What is your citizenship / nationality?
Please tell us the circumstances that led you to become a Christian.
What is your current occupation?
Where are you currently employed?
What are some of your hobbies?
What are some of your talents?
Have you been baptised by water?
Yes
No
If you answered yes, please let us know approximately the month and year.
Do you know what your spiritual gift(s) is/are?
Yes
No
If you answered yes, please let us know what you spiritual gift(s) is/are.
How did you hear about our church?
Why have you decided to join Cornerstone?
What would you say are your strengths?
What would you say are your weaknesses?
What areas in your life do you desire prayer for?
Please state any other comments about yourself that you would like to share with the Pastors.
Are you transferring your membership from another church?
Yes
No
I you answered yes, please tell us the name and address of the church that you are transferring from.
How long did you attend your previous church?
What previous church ministry experience have you had?
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