Rehoboth Open Bible Church - MEMBERSHIP FORM

MEMBERSHIP FORM

Name	*
Address	*
Home #
Cell # or Alternate #
D.O.B.	*
Your Email Address	*
Emergency Contact Name	*
Emergency Contact Telephone #	*
Relationship	*
Marital Status	*
Wedding Anniversary Date	*
Name of Spouse (if applicable)	*
Number of Children	*
Name of Children and D.O. B. (if applicable)	*
Where were you born? Where were your raised?
Occupation	*
Employer Name	*
Business Address	*
Educational level	*
Professional licenses	*
How did you hear about Rehoboth Open Bible Church?	*
Date of Salvation	*
Date of Baptism (Water)	*
Date of Baptism (Holy Spirit)	*
Describe your devotional time
Do you know your spiritual gift(s)?	*
If so, what is it?	*
Do you have a prayer partner?	*
Do you understand the purpose of tithing?	*
Are you faithful in your tithing?	*
What ministry(s) are you interested in?	*
Describe your comfort level in witnessing to others (scale from 1 - 10 – 10 being the highest)	*
What are some areas in your Christian faith you would like to improve? (for example, fasting, tithing, bible study, prayer, application of the Word) *
Do you have a disability that requires an special accommodations in church? (Large text bible vision impairment, sermons on CD-hearing impairment, sign language interpreter, etc) *
Do you have any questions/concerns that you would like to discuss during the membership interview? *