Shades Mountain Independent Church
 
Application for SMCC Membership
First Name  * 
Last Name  * 
Street Address  * 
City  * 
State  * 
Zip / Postal Code  * 
Contact Phone Number  * 
Gender  * 
Marital Status  * 
Birth Date  * 
Approximate Date of Salvation  * 
Have you been baptized?  * 
If employed, who do you work for and what do you do?
Anniversary (if applicable)
Is spouse joining also?
Spouse's Name (if applicable)
Spouse's Birthdate (if applicable)
CHILDREN ATTENDING SMCC: Please list names and birthdates of all children 18 and under who attend SMCC with you.
MY PERSONAL RELATIONSHIP WITH CHRIST
Briefly describe your level of participation in church the last few years. * 
Suppose something unfortunate happened to you tonight and you died unexpectedly. How certain are you that you would go to heaven?  * 
Suppose you died and were standing before God. How would you answer Him if He were to ask you, "Why should I let you into heaven?". * 
Briefly describe your life BEFORE Christ saved you. * 
Describe HOW and WHEN Jesus saved you and became your personal Savior? * 
Briefly describe what your life is like NOW as a result. * 
INVOLVEMENT
List SMCC members that you are already associated with or know well.
List any group or ministry you're already involved in at SMCC.
Transfer church membership from:
Please include name and address of any church you are currently a member of.
Do you know your spiritual gifts?  * 
Your Email Address  * 
 
 
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