Membership Application/Update

GENERAL INFORMATION

Member / Contribution Number (If Known)

FOR UPDATES ONLY

First Name *

Last Name *

Date of Birth

Home Phone

Cellular Phone

Email *

Occupation

Employer

Spouse's First Name

Spouse's Last Name

Spouse's Date of Birth

Spouse's Occupation

Spouse's Employer

Spouse's Cellular Phone

Spouse's Email

Best number to call

Best time to call

Wedding Anniversary Date

Address *

Address

Street Address

Additional Address

City

State/Province

Zip/Postal

Do you have any special needs or medical conditions that we should know about? If so, please explain.

If you desire your EIN or Tax ID included on your statement, please provide:

Home Phone Number *

Are you willing to receive text messages concerning church information?

Address *

Address Line 2

City *

State *

Postal Code *

Have you or your spouse worked in ministry before?

yes

If so, what area did you work?

List all children by name living in household under the age of 18.
Children over 18, please should fill out separate application.

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Nearest Relative in case of Emergency *

Nearest Relative in case of Emergency

Full Name & Relation

Address

City

State/Province

Zip/Postal

Educational Background in Ministry

Ministry Interest

Ministry Interests

Spouse's Ministry Interest

Previous Church

Name of Church

Pastor's Name

Address

City

State/Province

Zip/Postal

Phone

Previous Ministry Position

Reason for Leaving?

Date

reCAPTCHA

Shores Baptist Worship Center

Membership Application/Update

GENERAL INFORMATION

List all children by name living in household under the age of 18.
Children over 18, please should fill out separate application.

Ministry Interests

Previous Church

Forms

Shores Baptist Worship Center

414 Silver Rd. Ocala, Florida

Shores Baptist Worship Center

Membership Application/Update

GENERAL INFORMATION

List all children by name living in household under the age of 18. Children over 18, please should fill out separate application.

Ministry Interests

Previous Church

Forms

Shores Baptist Worship Center

414 Silver Rd. Ocala, Florida

List all children by name living in household under the age of 18.
Children over 18, please should fill out separate application.