Membership Application Form

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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)

Format: (000) 000-0000.

Spouse's Phone Number

Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Marital Status

Which congregation are you a part of?

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?

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.

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.

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?

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?

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?

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?

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?