Membership Application
Please fill out this form and click submit.
Date
*
General Contact Information
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AL
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BC
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GA
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LA
MA
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MD
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MH
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NS
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PA
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WA
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WV
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YT
Birthdate
*
We would like to know more about you:
Are you Married?
*
Please select all that apply.
Yes
No
If so, please list spouses name:
Is he/she a believer?
Please select all that apply.
Yes
No
Do you have children?
*
Please select all that apply.
Yes
No
If so, please provide their name, gender, and age:
Have you accepted Jesus as your Lord and Savior?
*
Please select all that apply.
Yes
No
If so, please provide the date:
Have you been baptized in water?
*
Please select all that apply.
Yes
No
If so, please provide the date:
Have you received the baptism of the Holy Spirit with the sign of speaking in tongues?
*
Please select all that apply.
Yes
No
Are you a member of any other congregation at the present time?
*
Please select all that apply.
Yes
No
If so, name of the Church and Pastor?
What are the giftings and talents you believe you have, and would like to use to enhance the Kingdom of our Lord?
Will you do all you can to love and obey God whole heartedly and to have a loving and appropriate relationship with other people, as the Lord has instructed us in the Holy Scriptures?
*
Please select all that apply.
Yes
No
Will you attend church regularly, pray regularly for the church, maintain a regular involvement in the corporate worship, growth and ministry opportunities of the church and also support your church in giving freely of your time and effort for the Glory of God?
*
Please select all that apply.
Yes
No
Will you give regularly and support your church financially with your Tithes and Offerings according to how the Lord has blessed you?
*
Please select all that apply.
Yes
No
For Membership candidates under the age of 16:
Name of Parent or Guardian:
Do you have your parent or guardian’s permission to become a member of Life Missions World Outreach Center?
Please select all that apply.
Yes
No
For all applicants:
I certify that all the above statements are true: (Please initail for certification)
*
Submit
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