Pentecostal Church Membership Form

A lot of churches require their members to fill out an application to become a member of the church. These applications are different for each church, but they all ask for your personal information and how much you want to donate per month as a contribution to the church. In addition, there is an application cost.

Questions for Pentecostal Church Membership Form


Your name

The answer should be a text input.

Your DOB

The answer should be a date input.

Dates of water baptism

The answer should be a date input.

Your marital status

The answer should be a single choice:
  1. Single
  2. Married
  3. In a domestic partnership
  4. Divorced
  5. Widowed

Have you ever been disfellowshiped from a church or organization?

The answer should be a single choice:
  1. Yes
  2. No

Are you willing to be submitted yourself to the teachings of pentecostal church?

The answer should be a text input.

What are the days in a week you are looking to attend church?

* Choose all that apply

The answer should be a multiple choice:
  1. Monday
  2. Tuesday
  3. Wednesday
  4. Thursday
  5. Friday
  6. Saturday
  7. Sunday

Do you want to be more involved with congregation/church family? Especially during festival seasons. 

The answer should be a single choice:
  1. Yes
  2. No

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