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.
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?
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.