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
Date Picker Icon
Marital Status
*
Single
Married
Divorced
Widowed
E-mail
*
Cell Phone
*
Home Phone
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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
Date Picker Icon
Mail Address (if different than home)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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
Inconsistent
Consistent
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
Inconsistent
Consistent
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
*
ACCEPT
Should be Empty: