Membership Info

YOUR INFORMATION IS SECURELY SUBMITTED DIRECTLY TO THE CHURCH OFFICE

Gathering Sheet

Head of Houshold*
Prefix First Last Suffix
Sex*
Birthdate*
Month
Day
Year
Occupation & Employer
Membership Status*
Method*
Date of membership
Month
Day
Year
Sunday School Class
Anniversary Date *if app
Month
Day
Year
Spouse
Prefix First Last Suffix
Sex*
Maiden Name (if applicable)
Last
Birthdate
Month
Day
Year
Occupation & Employer
Membership Status
Method
Date of membership
Month
Day
Year
Sunday School Class
Address*
Street Address Address Line 2 City State ZIP Code
Alternate Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Head of Household Cell Phone
Spouse Cell Phone
Head of Household Work Phone
Spouse Work Phone
Unlisted?
- Home Phone
- HOH Cell Phone
- Spouse Cell Phone
- HOH Work Phone
- Spouse Work Phone
Email Addresses
Please include name before address
Children
Please list: Name & birthday And note if dedicated and/or baptized with the date (if known)
Any additional information or clarification?
CAPTCHA

Below is the "Talent Bank". Please fill out and submit for each individual
Name*
First Last
To select multiples, press & hold the ctrl key in each section
Skills
Check all that apply
Other skills not listed:
Leadership Positions Currently Held
Check all that apply
Commission Member - please select one
Other Leadership Positions Currently Held
Activites
Check all that apply
Activities not listed
Spiritual Gifts
Other Spiritual Gifts not listed
Willing to Serve
Other areas you would be willing serve?
Are you a nurse or doctor?
Do you know First Aid?
Can you operate a Defibrillator?
Do you have Clearances?
Are you a blood donor?
Blood type?
Platelets also?
Are you included on One-Call?
To be added, provide your number (leave blank if uninterested)
Preferred method of contact
Land line? Cell Phone? Email? Text? Other? Please list here.
Any other information or clarification?
CAPTCHA