Membership Form — Park Meadows Church

Church Membership Questionnaire

(Please send us some photos of you and your family!)

General Information

Today's Date

YYYY

Name

First Name

Last Name

Birthday

YYYY

Spiritual Birthday

Can you recall the day in which you received Jesus as your personal Lord and Savior?

YYYY

Spouse Name

First Name

Last Name

Spouse Birthday

YYYY

Spouse Spiritual Birthday

YYYY

How many children do you have?

To your knowledge, have your children experienced their spiritual birthday?

Church Background

Denomination/beliefs you grew up with:

Denomination/beliefs you hold now (if changed):

Describe briefly where your relationship is now with the Lord in regard to personal Bible study, prayer, and walk :

Have you been Scripturally Baptized (by immersion)?

If so, approximately when?

Others in the family who have been Baptized:

Church Office Background

Please let us know if you have a background serving in a Church office, and if you've been called and ordained!

Are you a Pastor/Elder?

Are you called by God, and ordained by a Church as Pastor or Elder?

If so, what Church have you served?

Ordination Date (if applicable):

YYYY

Are you a Deacon?

Have you been called to serve your local Church as a Deacon?

If so, what Church have you served?

Ordination Date (if applicable):

YYYY

Additional Comments:

Please give a brief testimony of your regeneration experience. If you can remember when it happened and where you were, please elaborate. What were some of the changes in your life that occurred because of your spiritual re-birth? If you are not sure about this would you consider speaking with one of our pastors or elders or deacons about it?