Issachar Church - membership-form

First Name

Last Name

Email

Phone Number

Preferred Method of Contact (optional)
Phone
Email

Address (optional)

Address 1

Address 2

Country

City

State

Zip/Postal Code

Gender
Male
Female

Birthdate

Are you younger than 18? (optional)
Yes
No

Marital Status
Single
Married
Widowed
Divorced

Spouse's Name (optional)

Does your spouse attend Issachar? (optional)
Yes
No

Spouse's Birthdate (optional)

Children's Names, Date of Birth, Gender (optional) Example: Rachel, 1/4/91, F (optional)

Do your children attend Issachar? (optional)
Yes
No

Do your children live with you? (optional)
Yes
No

Have you committed your life to Jesus Christ and trusted Him for salvation?
Yes
No

When and where did you commit your life to Jesus Christ? (optional)

Have you been baptized in water since you committed your life to Christ? (optional)
Yes
No

When and where did you get baptized in water? (optional)

Serve Team Ministries: Choose 2 areas of interest
Issachar Kids
Youth
Greeters
Hospitality/Events
Online Team

Are you interested in discussing your ministry fit with a team lead? (optional)
Yes
No

When did you complete the Membership Class or watch the videos?

Do you desire to abide by the Issachar Church Membership Covenant? (optional)
YES, I DO!

Today's Date

MEMBERSHIP APPLICATION