MCBC Informational

Mt. Carmel Baptist Church Membership Informational

Personal Information:

• Full Name: _______________________________________________________
• Date of Birth:___________________
• Address: _________________________________________________________
• City/State/ZIP: ______________________
• Phone Number: ______________________
• Email Address: ______________________

Family Information:

• Marital Status: ☐ Single ☐ Married ☐ Widowed ☐ Divorced
• Spouse’s Name (if applicable): _____________________________________
• Children’s Names and Ages: ______________________________________________________

Spiritual Background:

• Have you accepted Jesus Christ as your Lord and Savior? ☐ Yes ☐ No
• Date of Salvation (if known): _______________________
• Have you been baptized by immersion? ☐ Yes ☐ No
  • If yes, Date and Location: _______________________________________________________

Previous Church Membership:

• Previous Church Name: ___________________________
• Address: ______________________________________________________________________
• Reason for Leaving: _____________________________________________________________

Membership Request:

• I am seeking membership by: ☐ Baptism ☐ Transfer of Letter ☐ Statement of Faith

Involvement and Service:

• Areas of Interest for Serving: _____________________________________________________
• Ministries you would like to join: __________________________________________________