Membership Application *Please note - membership is available to individuals who are at least 18 years old. Each person applying for membership needs to complete all parts of the application. (i.e. Two family members desiring membership need to complete two separate applications.) Step 1 of 5 20% My InformationName* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Marital Status*SingleWidowedMarriedSpouse's Name* First Last Does your spouse attend with you?*YesNoAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Area of Town & Subdivision*Email* Home/Best Phone*Secondary PhoneWork PhoneEmployer*Occupation*SchoolYear in SchoolAre there others living in your household?*YesNoPlease give the Name and Date of Birth of anyone else living in your household.*Dependent children - only one parent/spouse needs to fill this part out) My Spiritual Journey Our mission at Journey is to lead people into a growing relationship with Jesus Christ. This first section about your spiritual history helps us to learn about your growing relationship with Jesus. Please be as complete as possible. The bible teaches that God is relational. He desires a growing relationship with everyone. However, we are separated from God because of our sin. God's desire for a relationship with us is so great that He sent His only son, Jesus Christ, to die on a cross as the payment for our sin. All who believe that Jesus Christ died on their behalf (i.e. trust that His death paid for their sin), confessed Him as Savior and Lord and have yielded their lives to Him have a relationship with God.In light of this, do you believe that you have entered into this relationship?*YesNoNot CertainI would like to speak with someoneIf God were to ask you why you should be allowed into heaven, how would you answer?*Please state briefly how and when you accepted Christ.* My Baptism Baptism is a tangible expression of your faith in Jesus Christ - a first step of obedience for the Christian and the seal of your commitment to following Jesus Christ. It is a mark of our identification with Christ's death, burial, and resurrection and therefore is an important step for every believer.Have you been baptized since you began your personal relationship with Jesus Christ?*If "No" you will be contacted about the next steps for scheduling your baptism.YesNoIf you have just made a decision to embrace Jesus Christ as your Savior and the unique Son of God, we celebrate your new life in Him! We would suggest (if you haven't already done so) that you build a strong foundation through a Starting Point group before you proceed with membership. My InvolvementSmall Groups* Community Group Starting Point Community Group Leader's Name* First Last Starting Point Leader's Name* First Last Strategic Service Team* Guest Services/Host Team Music/Media/Production Waumba Land UpStreet KidStuf Transit/InsideOut I am in the process of joining a service area Membership at Journey signifies a willingness to partner with us and be identified as a follower of Christ - death to your old life and having received a new life through Christ. Although everyone is messed up (i.e. a sinner), your growing relationship with Jesus Christ should be seen in your daily life. My Statement of Membership Accountability As a member of Journey, I agree to participate in the mission of this church by... serving strategically investing and inviting being a percentage giver doing life in a small group I will also be accountable to the church leadership in matters concerning my relationship with God and with others. I agree with this statement and therefore submit my name for membership.Signature*Please enter your name. This serves as your electronic signature and signifies that you agree with the Statement of Membership Accountability. First Last Today's Date* Date Format: MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.