Membership Interest Form
Your Name (First, Middle Initial, Last)
Home Address
City
State
Choose one:
Alabama
Alaska
Arizona
Arkansas
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
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Email Address
Cell Number
Home Number
Preferred Method of Contact
Email Me
Call Me
Date of Birth
Gender
Female
Male
Marital Status
Married
Unmarried
Spouse or Parent Name(s)
Please list the name(s) & age(s) of your child(ren)
In your own words, state how and when you became a follower of Christ
Please explain why you want to join GraceChurch
How do you see yourself becoming involved at GraceChurch or how are you currently invovled?
How did you become connected with GraceChurch of Columbia?
Have you been baptized (since becoming a Christian)?
Yes
No
Are you currently a member of another church?
Yes
No
If yes, please list the church name and address/phone number:
Most Recent Date of Attendance at Former Church:
Reason for leaving former church:
Are you in agreement with GraceChurch of Columbia’s Statement of Faith?
Yes
No
Do you agree to support GraceChurch and its leadership with your time, talents, gifts, and service?
Yes
No
SUBMIT FORM
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