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SAMUEL'S CHURCH REQUEST FOR
MEMBERSHIP FORM
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Full name __________________________________________
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Address ___________________________________________
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Phone _________________________
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Have you been baptized? ________ confirmed?
_______
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Do you currently hold membership in another
church? _________
- if so, which church? _________________________________
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Attached is a copy of our Statement
of Faith. After reading it carefully, please check one of the following:
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Our Church Constitution states the expectations
of members: "Members shall pledge themselves to attend the regular worship
of the church and the celebration of the Lord's Supper; to live the Christian
life; to share in the life and work of the church; to contribute to its
support and benevolence; and to diligently seek the spiritual welfare of
the membership of the community."
Are you willing to pledge yourself to
these responsibilities? ______
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How would you describe how things are between
you and God right now?
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If you died tonight, are you certain that
you would go to heaven?
yes ____ no ____ not sure ____
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If God asked what you are relying on to get
yourself into heaven, what would you say?
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Was there ever a time in your life when you chose to turn
from your sin and accepted Jesus as your Lord and Savior for the rest of your
life?
yes ____ no ____ not sure ____
If yes, please describe on the back of this page the circumstances surrounding your decision to accept Jesus.
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