Church Membership Questionnaire

We are glad you are worshiping with us and are requesting to undergo the sacred rite of placing membership. Please answer these questions to help us follow the scriptural process.

Name: ________

Date of Birth:_________

Date of Baptism:__________

Person who performed baptism and his position (minister or elder):_________

Social Security # of person who performed your baptism:___________

View of the Holy Spirit held by person who performed your baptism:_________

View of Baptism held by person who performed your baptism:__________

Preaching School or Christian college attended by person who performed your baptism:____________

Religious periodical/journal subscriptions held by person who performed your baptism:__________

Name of Church of Christ where you were baptized: ___________________

Sound or Unsound? (circle one)

Did you respond to the invitation at the end of a sermon in which all five steps were mentioned?

Yes No

Which version/translation of the Bible was used in that sermon? KJV NKJV ASV other
What was the invitation song?

Just as I am

Old Rugged Cross

Only a Step

O Why Not Tonight?

Did every part of your body go under the water? Yes No

What was said by the person baptizing you the moment before you were baptized?_______________________________________________________________________

What was going through your mind the instant you went under?

a. “COLD WATER!!!!”

b. “remission of sins, remission of sins, remission of sins, remission of sins”

c. “no instrumental music, no instrumental music, no instrumental music”

d. “thank you, Alex and Bart!”

List every congregation you have attended (including while travelling) during the past 5 years:

____________________________________________________________________________

____________________________________________________________________________

List every seminar, lectureship, retreat you have attended the last 5 years and include the keynote speaker: _____________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Thank you! We will get back to you soon with our decision about including you in the directory.

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One thought on “Church Membership Questionnaire

  1. cwinwc

    Hi – I saw your link on Trey’s blog. I busted out laughing when I read your “What was going through your mind the instant you went under” question.

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