Membership Application

Please complete this application and submit. it will be transmitted securely.

Online Church Membership Application

* Indicates required field

Name *

Write your first and last name as you like to be known.

Address *

Your mailing Address and Street address

City *

State *

Zip Code *

Phone Number *

Cell Phone Number *

E-Mail Address *

Website *

for example your web site or even your Facebook Page

Your Birthdate *

Month, Day and Year

Marrital Status *

Single Divorced Married Re-married

Name of Spouse *

Anniversary Date *

Names and Birthdays of Children *

How long have you been a Christian? *

Number of Years or the date when you asked Jesus into your heart.

Have you been baptized in water by immersion since you believed? *

Yes No

Have you received the baptism in the Holy Spirit according to Acts 2:1-4 since you believed? *

Yes No Seeking

Have you ever been a member of another church? Please explain. *

If you were a member in good standing of another Assembly you may request a transfer of membership.

Have you attended church at Grace for at least 6 months *

Yes no almost 6 months

Do you voluntarily subscribe to the 16 tenets of faith *

Yes No I have some questions

Do you agree to be goverened by the constitution and bylaws? *

Yes No

What is your ministry? *

Submit