City Centre Church Membership Application

Each person applying for membership needs to complete all parts of the application (ie Two family members desiring membership need to complete two seperate applications).

Required fields marked with an asterix (*)

GENERAL INFORMATION
Full name *
Address *
Phone (Home) *
Phone (Work)
Phone (Cell)
Email address
Sex	Choose... male female
Date of Birth (m/d/y)
Marital status	Choose... single married
School (students)
Others living in Household (including spouse, parents, siblings, etc.) Enter "Full name, relationship, birthdate" for each person.
Have you read the membership information on the previous page *	Choose... yes no
GENERAL BACKGROUND
What, if any, is your religious background?
Name of previous Church attended:
	Name of the Church
	Years Attended
	Senior Pastor
	Member? Choose... yes no
	Reason for Leaving
What (who) brought you to CCC?
How long have you attended CCC?
What do you like best about CCC?

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SPIRITUAL HISTORY

The Bible teaches that God is relational. He desires a growing relationship with everyone. However, we are born seperated from God because of sin. God's desire for a relationship with us is so great that He sent His only Son, Jesus Christ, to die on a cross as the payment for our sin. All who believe that Jesus Christ died on their behalf and believe that His death paid for their sin, have a relationship with God.

In light of this, do you believe that you have entered into this relationship? * Choose... yes no uncertain

1. If God were to ask you why you should be allowed into heaven, how would you answer?

2. Please state briefly how and when you accepted Christ *

3. We believe that the Bible is clear about God's desire for each of us to make a public profession of faith through baptism.

Baptism is a symbol of our identification with Christ's death, burial, and resurrection and therefore is an important step for every believer.

Have you been baptized since you began your personal relationship with Jesus Christ? If you haven't been baptized since accepting Jesus Christ as your personal Savior, just mark no and we will contact you.

* Choose... yes no

Please briefly describe your baptism *

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PERSONAL COMMITMENT

We equate membership with involvement. Involvement in a small group and/or area of service is required for membership.

1. Are you in a Life Group?
Choose... yes no interested

2. What ministry are you involved in?

3. What ministry would you like to be involved in?

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Statement of Accountability

By initialing below I acknowledge and accept the procedures governing my membership will be as outlined in the Constitution of City Centre Church. As a member of City Centre Church, I agree to support this ministry with my time, my gifts and talents, anda my finances. I will also be accountable to the church leadership in matters concerning my relationship with God and with others.

Your initials: * Dated on Tue September 07, 2010