Stakeholder (Membership)

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Name

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Date

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Date Of Birth

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Gender

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Male Female

Address

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Marital Status

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Single Married

Spouses Name & Date of Birth

Email

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This address will receive a confirmation email

Phone

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Have you accepted Christ as your Savior? (Born Again)

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Yes No

Have you been Water Baptized?

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Please select one option.

Yes No I would like to be (See form on Baptism)

What area(s) are you currently serving in at Connection Church?

Please read the following Stakeholder qualifications and indicate your approval by checking the box below. By checking the box, you are indicating your willingness to adhere to the Stakeholder guidelines as set forth in the Constitution and Bylaws of this church.

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1. Be born again. (John 1:12-13, 1 Peter 1:18-25 2. Display evidence of a consistent Christian life through seeking and maintaining a living a active personal relationship with Christ (Romans 6:4; 8:1-4; 13:13-14; Ephesians 4:17-32; 5:1-2; 1st John 1:6-7). As a result of an active relationship with Chri 3. Be water baptized or agree to be water baptized at the next water baptism service. 4. Be willing to contribute to the financial support of the church with tithes and offerings, as well as tithing of your time and talents. (Giving back to the church) 5. Be in acceptance of the 16 fundamental truths (doctrines) of the Assemblies of God. I AGREE (this indicates your signature)

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