Shores Baptist Worship Center
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(352) 687-1048
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
12
1
2
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AM
PM
Wedding Anniversary Date
Address
*
Address
Street Address
Street Address
Additional Address
Additional Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
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?
Yes
No
Address
*
Address Line 2
City
*
State
*
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal Code
*
Have you or your spouse worked in ministry before?
yes
no
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
Full Name & Relation
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Educational Background in Ministry
Ministry Interest
Option 1
Ministry Interests
Spouse's Ministry Interest
Choir
Youth
Ministers
Administration
Children
Men's
Outreach
Ushers
Pastor's Aide
Women's
Education
Security
Other
Previous Church
Name of Church
Pastor's Name
Address
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Phone
Previous Ministry Position
Reason for Leaving?
Date
reCAPTCHA
Forms
Home
About
About Us
History
Ministries
Ministry of Education
Mens Ministry
Womens Ministry
Marriage Ministry
Marriage Magazine
Education
Bible Study
S.O.A.P. Devotionals
Rightnow Media
Events
Blog
Give
Live Stream
Contact Us
SBWC Request Forms
Menu
Home
About
About Us
History
Ministries
Ministry of Education
Mens Ministry
Womens Ministry
Marriage Ministry
Marriage Magazine
Education
Bible Study
S.O.A.P. Devotionals
Rightnow Media
Events
Blog
Give
Live Stream
Contact Us
SBWC Request Forms