Certification Of Church Membership printable pdf download

Certification of Church Membership

2015-16 Academic Year

Due December 31, 2015

A Message to the Student

This form will be valid for the Spring 2016, Summer 2016, and Fall 2016 semesters. It will be necessary for the Registrar’s Office to block future

registration activity for student accounts that do not have certifications on file after December 31

Student Number __________________

Student Name _______________________________________

A Message to the Student’s Church

The primary purpose of Southwestern Baptist Theological Seminary is to train men and women preparing for Christian ministry. We are partners in

this endeavor with the churches and we are so very thankful for the role that you play in the lives of our students.

It is important that we maintain accurate church membership information on our students. This is the reason you are receiving this form. Please

carefully consider the statement below. If the church is for any reason unwilling or unable to approve this form, please return the form so marked.

Please forward this form directly to the Registrar’s Office before December 31

. If your church has numerous seminary students as members,

please feel free to collect the forms and return them all together.

Certification of Membership

The student above is an active member in good standing.

Name of Church: _________________________________________________________

Address of Church: _______________________________________________________

City: ______________________

State: _____

Zip___________

Church Telephone Number: (________) ___________-_______________

Is this church a cooperating member of the Southern Baptist Convention?

 Yes

 No

If no, with what denomination does this church identify? _________________________________________

Date student joined this church _________________________

________________________________ ____________________________

______________

Signature of pastor/moderator

Printed name of pastor/moderator

Date

If someone other than pastor/moderator has signed this form. What is your position at this church?

____________________________________________________________________________

*If the student serves as the pastor, please have another member of your church leadership sign this form on your behalf.

Please return directly to: Email: registrar@swbts.edu / Fax: (817) 921-8791 / Mail: Office of the Registrar, Southwestern Baptist

Theological Seminary, PO Box 22600, Fort Worth, TX 76122

Certification Of Church Membership