Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

If not, are you willing to be baptized?

Yes

No

Have you been baptized in the Holy Spirit? *

Yes

No

Have you read and do you agree with "What We Believe" and the PAOC Statement of Essential Truths as well as abiding by the terms in our General Operating Bylaw? *

Yes

Have you read and do you agree to abide by the terms in our General Operating Bylaw? *

Yes

Are you willing to meet with the pastors or deacons to discuss this application and/or to attend a membership class? *

Yes

Have you held voting membership privileges in a previous church? *

Yes

No

Do you agree to live in unity with this assembly? *

Yes

Do you agree to financially support the work of this assembly with tithes and offerings? *

Yes

Will you encourage others through faithful church attendance? *

Yes

Will you support the pastoral staff and others in leadership? *

Yes

Are you prepared to maintain a Christian lifestyle that honours God as outlined in the Lifestyle & Morality Standards? *

Yes

Date of Application Completion *

MM

DD

YYYY