Membership Profile

Membership Profile

Fill out this form - your contact information is confidential, just for Pastor Cary & the church's secretary to contact you. Your information about occupation, hobbies and city where you were born & raised will be shared on your presentation as new member.
Name*

First NameLast Name
Sex*

MaleFemale
Birthday*

MonthDayYear
Marital Status*
E-mail*
Cell Phone*
Home Phone
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Service I Attend (Mark all that apply)

Sun 9 amSun 11 amWed 7 pm (Youth)Kids ChurchConnect Group
Occupation / Employer*
Where were you born and raised?*
How did you become acquainted with CRCC?*
List hobbies and interests: *

Sons / Daughters

	Name	Sex	Age
1
2
3
4
5

Check to accept

I have committed my life to Jesus Christ, and I trust Him for my salvation - I commit to the CrossRoads Community Church Covenant - I support the CrossRoads Community Church Statement of Faith. UPON COMPLETION OF THE GROWTH TRACK, I AM READY TO BECOME A MEMBER OF CROSSROADS COMMUNITY CHURCH
Profile picture
Please, if possible, upload here a profile picture of yourself alone. (Pic size max 2Mb)
Spouse's Name

First NameLast Name
Anniversary

MonthDayYear
Mail Address (if different than home)

Street Address

Street Address Line 2

CityState

Zip Code
Work Phone
Former Church Member?*

YesNo
Former Church name
Would you like CRCC to notify your former church for Membership Transfer?

YesNo
Baptized in water*

YesNo
Baptism Date
If don't remember the exact date, please type the approximate year.
What is your religious background?*
When did you receive Christ as your Savior?*
If don't remember the exact date, please type the approximate year.

From 1 (inconsistent) to 10 (consistent), how do you consider yourself in your prayer/devotional life?*

	1	2	3	4	5	6	7	8	9	10

1 is Inconsistent, 10 is Consistent

From 1 (inconsistent) to 10 (consistent), how do you consider yourself in your tithing/offering?*

	1	2	3	4	5	6	7	8	9	10

1 is Inconsistent, 10 is Consistent

Have you received the baptism of the Holy Spirit?*

YesNoNot sure
Habits that would hinder your witness...*
What do you consider to be your strengths? (List examples) *
What do you consider to be your weaknesses? (Be specific) *
In what area(s) of ministry have you been involved in CRCC or before CRCC?
If I could be involved in ONE area of ministry it would be...
What do you believe are your spiritual gifts?
In what areas of ministry would you like to serve? (Check all that apply)

SMALL GROUP teacherSMALL GROUP assistantSMALL GROUP directorSMALL GROUP secretaryCHILDREN'S MINISTRY teacherCHILDREN'S MINISTRY assistantCHILDREN'S MINISTRY Girl's clubCHILDREN'S MINISTRY Boy's clubCHILDREN'S MINISTRY MultimediaCHILDREN'S MINISTRY OutreachCHILDREN'S MINISTRY DanceCHILDREN'S MINISTRY DramaCHILDREN'S MINISTRY ChoirCHILDREN'S MINISTRY Bus ministryCHILDREN'S MINISTRY Special EventsCHILDREN'S MINISTRY HospitalityCHILDREN'S MINISTRY NurseryYOUTH MINISTRY VolunteerYOUTH MINISTRY MultimediaYOUTH MINISTRY TechnicalYOUTH MINISTRY Worship leaderYOUTH MINISTRY BandYOUTH MINISTRY VocalsYOUTH MINISTRY Special EventsYOUTH MINISTRY OutreachYOUTH MINISTRY DiscipleshipYOUTH MINISTRY DanceYOUTH MINISTRY DramaYOUTH MINISTRY CafeYOUTH MINISTRY ChoirMUSIC/ARTS MINISTRY ChoirMUSIC/ARTS MINISTRY Praise TeamMUSIC/ARTS MINISTRY MultimediaMUSIC/ARTS MINISTRY LightingMUSIC/ARTS MINISTRY Sound/TechMUSIC/ARTS MINISTRY TelevisionMUSIC/ARTS MINISTRY DramaMUSIC/ARTS MINISTRY DanceMUSIC/ARTS MINISTRY LibrarianMUSIC/ARTS MINISTRY Set DesignCOLLEGE&CAREER MINISTRY FacilitatorCOLLEGE&CAREER MINISTRY OutreachOUTREACH MINISTRY Life GroupsOUTREACH MINISTRY Blue FishOUTREACH MINISTRY Nursing HomeOUTREACH MINISTRY HospitalOUTREACH MINISTRY Personal ContactOUTREACH MINISTRY Food BankOUTREACH MINISTRY Jail/PrisonOUTREACH MINISTRY CommunityINTERNATIONAL MINISTRY TranslatorINTERNATIONAL MINISTRY Bilingual TeacherINTERNATIONAL MINISTRY Life GroupsHOSPITALITY MINISTRY UsherHOSPITALITY MINISTRY GreeterHOSPITALITY MINISTRY IntercessorHOSPITALITY MINISTRY Altar WorkerHOSPITALITY MINISTRY CommunionHOSPITALITY MINISTRY Interior DesignHOSPITALITY MINISTRY FloralHOSPITALITY MINISTRY Wednesday MealsBUILDING SECURITY Lights (on/off)BUILDING SECURITY Doors (lock/unlock)BUILDING SECURITY Climate ControlMAINTENANCE GroundsMAINTENANCE LandsapingMAINTENANCE BuildingMAINTENANCE CustodialMEN'S MINISTRY VolunteerWOMEN'S MINISTRY VolunteerSENIOR ADULT MINISTRY VolunteerMISSIONS MissionaryMISSIONS CoordinatorOFFICE Administrative HelperOFFICE Receptionist
Your Testimony*
Should be Empty: