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Membership Application

Thank you for your interest in applying for membership at Roots Community Church! This online application will collect your basic information and allow you to use an electronic signature to express your understanding of and agreement with our Statement of Faith and Church Covenant. Both of these documents can be viewed here:

Statement of Faith

Church Covenant

After the completion of this application we will reach out to you to schedule an interview with a pastor.

Contact and Family Information

First Name

Last Name

Phone Number

Birthdate

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Marital Status

Spouse's Name

Do you have any children?

Yes

What are their Names and Ages

Testimony and Church Background

Have you ever been baptized?

Yes

When and where?

What church did you last regularly attend?

What was your reason(s) for leaving?

Have you ever been under church discipline or asked to leave a church?

Yes

What happened?

Please write out a brief description of your conversion.

Membership Affirmations

Have you read and are you in agreement with our Statement of Faith?

Yes

What are your concerns or hesitations?

Have you read and are you in agreement with our Church Covenant?

Yes

What are your concerns or hesitations?

With love and restoration as our goal for a wayward member, do you understand that Roots Community Church will employ church discipline according to the steps outlined in Matthew 18:16-18 when absolutely necessary?

Yes

Electronic Signature

I, the undersigned, wish to commit to membership with Roots Community Church. I have read and affirm both the Statement of Faith and Church Covenant.

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Membership Application

Contact and Family Information

Testimony and Church Background

Membership Affirmations

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