Application Form For Adult Membership
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1APPLICATION FOR ADULT MEMBERSHIP
PRIMITIVE METHODIST CHURCH
(This application is to be sent to your pastor.)
(1) Name in full _________________________________________________________
Are you married? Yes ___ No ___
(2) Address ____________________________________________________________
Telephone Number _______________
Birthdate ________________
(3) Do you know by confession of your sins and faith in the Lord Jesus Christ, that you are a
“born again” Christian? Yes ___ No ___
(4) What factors influenced you to become a Christian? __________________________
__________________________________________________________________________
(5) How long have you been a Christian? _____________________________________
(6) Have you been baptized? Yes ___ No ___ When were you baptized? _____________
If not, do you agree to be baptized? Yes ___ No ___
(7) Are you now a member of any church? Yes ___ No ___
a. If so, what is the name of the church and the denomination?
__________________________________________________________________________
b. If not, where have you been attending? _______________________________
(8) Do you recognize and believe that the Scriptures teach that the Christian is to be separated
from the “world” unto a life of practical godliness and service for Christ? Yes___ No ___
(9) Do you understand that membership in the Primitive Methodist Church involves obligations
on your part to support the Church by attending its meetings, by maintaining an active interest in its
total ministry, by upholding the work in prayer, and by aiding financially in its ministry as the Lord
prospers you? Yes ___ No ___
(10) Do you promise to support the Primitive Methodist Church in these areas should you
become one of its members? Yes ___ No ___
(11) Do you understand that you are required to receive instruction in preparation for Church
membership? Yes ___ No ___
Date: ______________________
Your Name: ______________________
I certify that the information
I have provided on this application
is correct, to the best of my knowledge.
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