Membership Application | FCA - 2023

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Faith Christian Assembly

"Loving God, Loving People, Living By Faith"

Membership Application

First name

Last name

Birthday

Date Converted

Baptized in Water?

Baptized in the Holy Spirit?

Marital Status:

Date of Weddng Anniversary

Spouse's Name

Spouse's Birthday

Children (under 21)

Children (under 21)

Children (under 21)

Children (under 21)

Street Address

City

State

Zip Code

Mobile Phone

Home Phone

Email

My Membership has previous been in (name of church if any)

Street Address

City

State

Zip Code

Pastor

Phone

Enlistment for Service
To help provide opportunities for meaningful ministry through your church, please check areas in which you have experience or interest in serving. What positions of church service have you held in the past?

What are you interested in?

Christian Education/Sunday School

Nursey

Youth

Evangelism & Missions (Global and/or Local)

Prayer Ministry

Men's Ministry

Women's Ministry

Follw-up Ministry

Anything else you want us to know about yourselfTell us about yourself...

What are you interested in?

Ushering

Worship Leader

Support Singers

Instrumental Music

Audio/Visual Tech

Church Office

Social Media

Transportation

Other

I am Available: Day(s)

What are you interested in?

Days

Evenings

Please Note: We have to update members every 1-2 years to keep our records up to date. Your mobile and work phone will not be included in the Church Directory, but will ONLY be used for emergency purposes such as a church service cancellation. Thank you for your patience. Thank You. God Bless You.

Signature:

Date

Thanks for submitting!

Office Use Only

Board Action:

Signature:

Date

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Your generous support is needed and appreciated in helping us complete our mission of transforming lives in North Rockland and beyond. You can easily donate online or contribute during each of our services. “The world of the generous gets larger and larger...” (Proverbs 11:24).

Thank you for your faithful support.

"Loving God, Loving People, Living By Faith"

Faith Christian Assembly, West Haverstraw

20 Wayne Avenue

Rockland County, NY, 10993

© 2023 Faith Christian Assembly. All rights reserved.

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