Spouse's Name:

Spouse's Date of Birth:

Children Attending Mt. Zion (with dates of birth):

If yes, where?

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?

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