Membership Application Form

Membership

We want you to join us in covenant membership! Please take a moment to fill this out to give us the best, most up to date information about you and your family. Once we receive this information, you will be contacted to set up a meeting with one of our pastors.
Name (Main Contact)*

First NameLast Name
Spouse's name (if applicable)

First NameLast Name
Email (Main Contact)*
example@example.com
Spouse's email (if applicable)
example@example.com
Phone Number (Main Contact)*
Spouse's Phone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status*

SingleMarried
Which congregation are you a part of?*

Central (Moore)WoodruffLake CooleyEspañolEast Asian
Birthday/grade section of this application only needs to be filled out by one member of the family for all in the family.
Date of Birth (Main Contact) *
Spouse's Date of Birth (if applicable)
Children (name, birth date, and grade)
Occupation (Main Contact):
Place of Employment:
Spouse's Occupation (if applicable):
Place of Employment:
What worship service do you normally attend?

9:00 AM11:00 AM
Small Groups

The goal of our Small Groups is to create a place where you can grow spiritually and connect with others who are at the same stage of life. If you are interested in joining a Small Group or if you are already in a Small Group, please help us by filling out the information below.
Sunday 8:00 AMSunday 9:30 AMSunday 11:00 AMSunday PMMonday PMTuesday PMWednesday PMThursday PMI am already in a Small GroupOther
If you want to be included in our email newsletters, please select the following option(s). We will send announcements, events, and ministry stories/updates.

Church at The Mill (Central Campus)Church at The Mill (Woodruff Campus)Church at The Mill (Lake Cooley Campus)Kids at The Mill (Infants-5th Grade)Students at The Mill (6th-8th Grade)Young Adults at The Mill (Ages 18-29)
We believe a saving relationship with Christ is necessary to be a part of a biblical church. Have you placed your faith in Jesus Christ as Savior as your only means of salvation?*

YesNo
If yes, please briefly explain your salvation story. *
If no, please put N/A.
Spouse (if applicable) We believe a saving relationship with Christ is necessary to be a part of a biblical church. Have you placed your faith in Jesus Christ as Savior as your only means of salvation?*

YesNoN/A
If yes, please briefly explain your salvation story. *
If no, please put N/A.
At Church at The Mill, we believe that baptism is by full immersion, (being completely immersed in water, representing the death, burial, and resurrection of Christ) and comes after salvation.
Have you been baptized by immersion since your salvation?*

YesNo
If yes, please give an approximate date and place:*
If no, please put N/A.
Has your spouse been baptized by immersion since his/her salvation?*

YesNoN/A
If yes, please give an approximate date and place:*
If no, please put N/A.
If you are a member of another church, please give us a brief explanation of why you are leaving your home church.
Please briefly explain.
What is the name and City/State of your other church?
Should be Empty: