Membership Application Question Title 1. Name: Question Title 2. Address: Street Address Apt/Unit City State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP Code Email Address Phone Number Question Title 3. Date of Birth: Question Title 4. Occupation: Question Title 5. Marital Status: Single Married Widow(er) Divorced Question Title 6. Names and Ages of Children: Question Title 7. Describe your position in relationship to Jesus Christ. Question Title 8. Please provide some scriptures on which you base your knowledge and assurance of salvation? Question Title 9. Have you been baptized? If yes, please provide date and place. Baptism is not required for membership. Question Title 10. Have you read the BE Free Statement of Faith (found at the end of this application)? Yes No Question Title 11. Do you have any questions or reservations concerning the Statement of Faith? Question Title 12. Are you willing to uphold BE Free Church through your attendance at services, through financial support, and through regular prayer support? Yes No Question Title 13. In what ways are you willing to use your spiritual gifts for the building up of this body of believers? Question Title 14. Examine Matthew 18:15-17 and list the principles you intend to follow in the event of a disagreement you have with an officer or member of the Church. Question Title 15. Do you purpose, in reliance on God's grace, to seek His help to live according to the Scriptural injunctions in Ephesians 4:29-32? Yes No Question Title 16. If you are transferring membership from another local church, please provide the name and address of the church. Church Name Address Address 2 City State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIPCode Question Title Done