Church Membership Application

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Church Membership Application

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Baptism - Church Membership Request Form

For the fill in the blank questions, please use Scripture to support your answers.

Additional Resources
:: Membership Application
:: Member General Responsibilities

* Indicates required field

Baptism / Church Membership *

I would like to be baptized as a believer I would like to join Hillside Bible Church

Preferred Date of Baptism / Church Membership? *

Name *

First

Last

Birthdate *

Conversion Experience *

I have received Jesus as Lord and Savior I have been baptized as a Believer by Immersion

Location of above events (Home, Church, Event) *

If married, please fill out the following >>

Spouse Name *

First

Last

Enter the name of your spouse if you are married.

Spouse Birthdate *

Enter the birthdate of your spouse if you are married.

Spouse Conversion Experience *

My spouse has received Jesus as Lord and Savior My spouse has been baptized as a Believer

if married, enter Spouse Conversion Experience.

Names and birthdates of children *

If married, enter the names and birthdates of your children.

Anniversary Date *

If married, enter your anniversary date.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Home Phone Number *

Cell Phone Number *

Previous Church Memberships *

If you have been a member of any other churches, please list them here.

Class Attendence *

I attended the Baptism Review Class I attended Hillside's "Discover the Church" Class

Name of the teacher and date of the classes. *

If you were to die unexpectedly and appear before the Lord in heaven and He asked you, "Why should I welcome you into heaven?" (2 Cor 5:10, Heb 9:27) What would be your response? *

Please use Scripture to support your answer.

Please give a brief summary of your salvation story (how you came to trust in Christ as Savior), and what He has been doing in your life since then: *

Do you agree with the essential beliefs of Hillside Bible Church? If no, please explain those areas that are giving you trouble using the comments section below. *

Yes No

Please use the Comments section below if you have area of concern concerning our essential beliefs.

You should have heard in Hillside's "Discover the Church" class, how we as a Church commit to standing with, teaching, encouraging, helping, caring and praying for you and your family. Are you aware of the expectations of a Hillside Bible Church member and are you willing to commit, by God's Grace, to upholding them? If no, please explain below using the comments section below. *

Yes No

If needed, please use the Comments section below if you have objections to our expectations.

Comments Section *

Submit

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