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Please Note: This is not an interactive
form to fill up. This is just to give you a good idea of what
you are going to receive from us from your registered email.
Once registered you will receive an email from us. Fill it up
and send it back to us. Please
click here to register. Note: If the form is not
working do the following: 1) Highlight the form in this page,
then 2) right click your mouse then click copy 3) open your word
processor application then click new page 4) right click in that
new page and then 5) right click in that page 6) save the form
7) email it to us.
APPLICATION FOR
MEMBERSHIP
Name___________________________________________ Nickname
__________ Birthday __________________ Age_____
(First)
(Middle) (Last)
Address
___________________________________________
Birthplace
______________________ Tel. No. _______________
(No. Street) (City)
(State) (Zip Code)
Cel.No._______________ Email
Address________________________ Sex________________ Civil
Status _______________
Height___________
Weight_______ Name of Husband/Wife__________________________
No. of Children: ____________
Names of Children and
Ages____________________________________________________________________________________
___________________________________________________________________________________________________________
Name of
Co./Employer_____________________________ Position
______________________ Tel. No.( ) __________________
Address_______________________________________________________________
Date Joined ________________________
(No.)
(Street) (City)
(State) (Zip Code)
High
School_________________________________________ Year_________ to
___________ Course____________________
College_____________________________________________
Year_________ to ___________ Course____________________
Master/Ph.D_________________________________________
Year_________ to ___________ Course____________________
Any Other Special Education or
Training Taken (Seminar, Vocational, etc.)
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Have you
received Christ as your personal savior? ____
Have you been
baptized in water? _____ When?___________________
Where?_____________________
Denomination:
oBaptist
oPentecostal
oRoman
Catholic
oMethodist
o
Other:__________________ Do you attend church?__
Are you involved in Church
activities? If yes, please specify:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
State Affiliation with any civic,
fraternal or other organization:
NAME
ADDRESS
POSITION
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Talents/spiritual
gifts:____________________________________________________________________________________________________
I am interested in:
o
Preaching
o
Mission
o
Prison Ministry
o
Religious Tracts Distribution
o
Counseling
o
Pastoral Work
o
Hospital Ministry
o
Others______________________________________
References (Other than relatives
whom we can call regarding this application):
NAME
ADDRESS
TELEPHONE NO.
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
I hereby declare that all
statements made here are true to the best of my knowledge.
Applicant’s Signature:
Recommended By:
_________________________________
_____________________________________
District
Supt./Auxiliary Bishop or District Credential Committee
Do not fill beyond this point; for
General Council and Credential Committee use only.
Approved
By:________________________________________________________
Rev. Dr.
Gaudencio Soriano, Sr., General Superintendent, Titular
Bishop/Founder
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