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 Name Last Name
Sex *

Male Female
Birthday *

Month Day Year
Marital Status *
E-mail *
Cell Phone *
Home Phone
Address *

Street Address

Street Address Line 2

City State

Zip Code
Service I Attend (Mark all that apply)

Sun 9 am Sun 11 am Wed 7 pm (Youth) Kids Church Connect 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 Name Last Name
Anniversary

Month Day Year
Mail Address (if different than home)

Street Address

Street Address Line 2

City State

Zip Code
Work Phone
Former Church Member? *

Yes No
Former Church name
Would you like CRCC to notify your former church for Membership Transfer?

Yes No
Baptized in water *

Yes No
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? *

Yes No Not 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 teacher SMALL GROUP assistant SMALL GROUP director SMALL GROUP secretary CHILDREN'S MINISTRY teacher CHILDREN'S MINISTRY assistant CHILDREN'S MINISTRY Girl's club CHILDREN'S MINISTRY Boy's club CHILDREN'S MINISTRY Multimedia CHILDREN'S MINISTRY Outreach CHILDREN'S MINISTRY Dance CHILDREN'S MINISTRY Drama CHILDREN'S MINISTRY Choir CHILDREN'S MINISTRY Bus ministry CHILDREN'S MINISTRY Special Events CHILDREN'S MINISTRY Hospitality CHILDREN'S MINISTRY Nursery YOUTH MINISTRY Volunteer YOUTH MINISTRY Multimedia YOUTH MINISTRY Technical YOUTH MINISTRY Worship leader YOUTH MINISTRY Band YOUTH MINISTRY Vocals YOUTH MINISTRY Special Events YOUTH MINISTRY Outreach YOUTH MINISTRY Discipleship YOUTH MINISTRY Dance YOUTH MINISTRY Drama YOUTH MINISTRY Cafe YOUTH MINISTRY Choir MUSIC/ARTS MINISTRY Choir MUSIC/ARTS MINISTRY Praise Team MUSIC/ARTS MINISTRY Multimedia MUSIC/ARTS MINISTRY Lighting MUSIC/ARTS MINISTRY Sound/Tech MUSIC/ARTS MINISTRY Television MUSIC/ARTS MINISTRY Drama MUSIC/ARTS MINISTRY Dance MUSIC/ARTS MINISTRY Librarian MUSIC/ARTS MINISTRY Set Design COLLEGE&CAREER MINISTRY Facilitator COLLEGE&CAREER MINISTRY Outreach OUTREACH MINISTRY Life Groups OUTREACH MINISTRY Blue Fish OUTREACH MINISTRY Nursing Home OUTREACH MINISTRY Hospital OUTREACH MINISTRY Personal Contact OUTREACH MINISTRY Food Bank OUTREACH MINISTRY Jail/Prison OUTREACH MINISTRY Community INTERNATIONAL MINISTRY Translator INTERNATIONAL MINISTRY Bilingual Teacher INTERNATIONAL MINISTRY Life Groups HOSPITALITY MINISTRY Usher HOSPITALITY MINISTRY Greeter HOSPITALITY MINISTRY Intercessor HOSPITALITY MINISTRY Altar Worker HOSPITALITY MINISTRY Communion HOSPITALITY MINISTRY Interior Design HOSPITALITY MINISTRY Floral HOSPITALITY MINISTRY Wednesday Meals BUILDING SECURITY Lights (on/off) BUILDING SECURITY Doors (lock/unlock) BUILDING SECURITY Climate Control MAINTENANCE Grounds MAINTENANCE Landsaping MAINTENANCE Building MAINTENANCE Custodial MEN'S MINISTRY Volunteer WOMEN'S MINISTRY Volunteer SENIOR ADULT MINISTRY Volunteer MISSIONS Missionary MISSIONS Coordinator OFFICE Administrative Helper OFFICE Receptionist
Your Testimony *
Should be Empty: