Membership Application

Your name *

Last name

Email address *

Birthdate

Phone number

Phone type

MobileHomeWorkOther

Address

HomeWorkOther

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Marital status

Select…SingleMarriedWidowed

Anniversary date

Have you committed your life to Christ and accepted him as your Lord and Saviour? *

Yes

No

If yes, where and when? *

Have you been baptized? *

Yes

No

No, but I would be open to it

If yes, where?

Have you ever recieved the baptism of the Holy Spirit? *

Yes

No

No, but I would be open to it

Will you endeavour to refrain from promoting any doctrines contrary to the City Light Church of Victoria's "Statement of Faith"? *

Yes

No

Can you subscribe to our Mission Statement including our purpose & values?

Next Steps

Are you in a Life Group or other small group *

Yes

No

If yes, what is your group leaders name? If no, we'd love to help you find a group. What would be the best night of the week for you? *

Are you serving in a ministry? If yes, which ministry (ministries) do you serve in? If no, where would you like to serve? *

Signature of Applicant (full name and initials) *

Submit

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