Membership Info.

Date (Required)

Your Name (Required)

What membership status are you requesting? (Required)
---Full Voting MembershipAssociate MembershipYouth Membership

Home Address (example: 2782 W 200 N, Warsaw, IN, 46580)

Home Phone (example: 555-555-5555)

Cell Phone (example: 555-555-5555)

Email

Birth date and place of birth (example: 10/28/1985-Chicago,IL)

Status
---SingleMarriedWidowedDivorcedDivorced and Remarried

Spouse' name and anniversary (if applicable)

Children who live with you and their date of birth (example: Joseph Gregory-5/18/2009)

Salvation Testimony

Have you been baptized by immersion after since you were saved?

How long have you been attending PVBC? (example 8 months)

What are the main reasons why you want to join PVBC?

Have you read the PVBC Doctrinal Statement and Constitution
YesNo

Are you willing to support the ministries of PVBC by regular and systematic giving to the financial needs?

Are you willing to support the ministries of PVBC by regular involvement in volunteer service?

What types of ministry are you willing to be considered for in the near future?
nursery/toddlersteaching childrenchildren's helper/leadert-ball/softball ministryteen helper/leaderteaching adultsevangelism/outreachmissions committeephysical laborgrounds keeping/landscapingfacility upkeepcar maintenance/repair ministryushergreeting/hospitalityfinancial counting/accountingmusicsound ministryvideography/photographycomputer help/webpagegraphic design - publicationsvisitationpreparing meals

Are there other areas of ministry not listed above that you would be willing to be considered for in the near future?

What is the most recent church with which you have been affiliated prior to coming to PVBC? (example:Grace Bible Fellowship - Topeka, KS)

Would you be willing to have a member of our elder board or pastoral staff contact that church to ensure that you left in good standing?