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First Name
Last Name
Email
Address 1
Country
City
State
Zip/Postal Code
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Date of Birth:
Spouse's Name:
Spouse's Date of Birth:
Children Attending Mt. Zion (with dates of birth):
Are you a church member?
Yes
No
If yes, where?
Have you been baptized by immersion following your commitment to Jesus?
Yes
No
If yes, where and when?
If you have not been baptize, are you wiling to submit to baptism by immersion as a requirement for church membership?
Yes
No
If you have held membership at previous churches, please name the churches with approximate dates:
What areas of service have you been involved at another church? (Deacon, teacher, missions, children's ministry, etc.):
What areas of service would you be interested in as you get involved at Mt. Zion?
Children's Ministry
Youth Ministry
Missions
Worship Ministry
Event Team
Office/Administrative Assistance
Greet Team
Church Security
Teaching
Briefly provide your testimony of faith in Jesus Christ:
Submit