Membership Application Thank you for your interest in pursuing intentional membership at one of the congregations of Grace City Church. Please fill out the following membership application in advance of scheduling your membership interview. Step 1 of 5 20% Personal InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Suffix Name You Go By (If Different From Above)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Neighborhood/Area (e.g. Mayfair)*Email* Phone*Date of Birth* Marital Status*MarriedSingleSeparatedDivorcedSpouse's Name* First Last Wedding Anniversary* If Separated, How Long?*If Divorced, How Long?*Number of Children*0123456First Child's Name* First Last Gender*MaleFemaleBirthdate* Second Child's Name* First Last Gender*MaleFemaleBirthdate* Third Child's Name* First Last Gender*MaleFemaleBirthdate* Fourth Child's Name* First Last Gender*MaleFemaleBirthdate* Fifth Child's Name* First Last Gender*MaleFemaleBirthdate* Sixth Child's Name* First Last Gender*MaleFemaleBirthdate* Do Your Children Live In Your Home?*YesNoEmployer*If You're A Student, School Attending Previous Church InformationPlease answer the following questions concerning your relationship to your previous church if you attended another church before attending Grace City.Were you a member of another church prior to coming Grace City?*YesNoName of Church*Address of Church*Phone Number of Church*Name of Pastor That Knew You Best At Your Previous Church*Did you leave your previous church on good terms?*YesNoExplain*Select the Response That Best Applies*I prefer to talk to one of the pastors here prior to having Grace City contact my former church.Please feel the freedom to write or call my former pastor.Other Comments Life ChallengesThese questions are for pastoral care only.Are you currently under a physician's care?*YesNoFor what condition(s)?*Have you been under the care of a psychologist or psychiatrist in the past 5 years?*YesNoFor what condition(s)?*Have you ever been convicted of a crime?*YesNoAre you a registered sex offender?*YesNoFor what offense(s)?*Describe the circumstance that led to your conviction and what, if anything, you have done to make amends.*Outline what you are actively/routinely doing to guard against relapse and to walk in a manner that avoids temptation to commit the same or a related sin.*If there is a Parole Officer related to your conviction, may we contact them as a reference?*If there is a counselor or therapist giving you care related to your conviction, may we contact them as a reference?*Describe any other life challenges that you are currently facing or have faced in the past which would help us know you and care for you? Your Relationship With GodPlease tell us how you became a believer in Jesus.*We are asking you to write out a statement of your faith in Jesus Christ. Consider that this is to be a written declaration of the fact that you have repented of your sin and are trusting Jesus Christ as your Savior and King. It will be helpful for you to reflect on the answers to the following questions before you write out your story: • What does it mean to be a disciple of Jesus Christ? • How did you become aware of your sinfulness and your need for a Savior? • Why did you need Jesus to live, die, and be raised from the dead for you? • When did God make you aware of your need to repent of your sin and trust in the life, death, and resurrection of Jesus as your only hope for forgiveness of sin, deliverance from judgment, acceptance with God, and the gift of eternal life? You might include a few sentences that describe your life prior to becoming a disciple, how he revealed the good news about Jesus to you and what kind of an effect Jesus is having on your life. Have you been baptized since your profession of faith in Jesus Christ?*YesNoWhen?*Would you like to be baptized?*YesNoWhy?* Your Relationship to Grace CityWhat is your understanding of the role of the Local Church in a believer’s life?*Approximate Date You Came to Grace City*How did you learn about Grace City Church?*FriendInternetSovereign Grace ChurchesOtherPlease List*What is it about Grace City that draws you here?*Are there specific members of Grace City that God has used to draw you to here? If so, please describe.*Which Discipleship Community have you been attending?*Academy GardensMayfair-SheffieldMayfair-GuilfordFox ChasePine ValleyMontco/BucksFrankfordNorthwoodFive PointsMorrell ParkNoneWhat gifts or abilities do you have that could be used to serve the church and its mission?*What areas of service are you interested in or currently serve in at Grace City?* Greeting Team Ushering/Security Team Communion Prep/Clean-up Music Team Audio/Visual Team Nursery Care Grace4Kids Classes VBS Grace4Youth College Ministry Building Maintenance Need Help Figuring This Out Select more than one option if applicable.What outstanding question(s) do you have about the doctrines and/or practices of the church?*At this point, do you believe you should become a member of Grace City Church?*YesNoNot Sure This iframe contains the logic required to handle Ajax powered Gravity Forms.