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Membership Profile
PERSONAL
First Name:
Middle Initial:
Last Name:
Prefer To Be Called:
Address 1:
Address 2:
City:
State:
Zip:
Home Phone:
Work Phone:
E-mail Address:
Confirm E-mail Address:
Age:
Under 17
18-29
30-39
40-49
50-59
60+
Sex:
Male
Female
Marital Status:
Married
Single
Divorced
Widowed
Birth Date:
Month:
Day:
Year (optional):
FAMILY
Spouse's Name:
Prefer To Be Called:
Children's Names
Sex
Birth Date
Baptized
Male
Female
Yes
No
Male
Female
Yes
No
Male
Female
Yes
No
Male
Female
Yes
No
Male
Female
Yes
No
CHURCH
When did you begin regularly attending services at the Hospital Church?
Month:
Year:
Which church were you attending before coming here?
If you have had the opportunity to develop one or two close acquaintances who also attend the Florida Hospital SDA Church, please name them below:
Name:
Relationship:
Name:
Relationship:
Are you presently in a Small Group?
Yes
No
If yes, who is your leader?
MINISTRIES
In which area(s) of ministry have you served in the past?
None
Ministry and Position
Ministry and Position
Ministry and Position
In which area(s) do you have an interest in serving?
None
Ministry and Position
Ministry and Position
Ministry and Position
GIFTS
What do you believe are your Spiritual Gifts?
1.
3.
2.
4.
Skills - Talents - Hobbies (i.e. Secretarial, Carpentry, etc.)
If applicable, which part do you sing?
If applicable, which instrument do you play?
EMPLOYMENT
Are you employed?
Yes
No
Name of Company:
Company Address:
City:
State:
Zip:
Position:
Responsibilities
SPIRITUAL LIFE
Please summerize how you came to know Christas your Savior, and describe the present condition of your spiritual life.
