Membership Form Check this box if this is to update your existing member records. (Note: Need only to complete information requiring updating.) I am updating my existing record TELL US ABOUT YOURSELF:Salutation Mr. Mrs. Miss Ms. Name First Middle Last Email DOB Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Daytime PhoneWork PhoneCell PhoneMarital Status Single Married Divorced Widow Spouse Name First Last DOB Wedding Anniversary PhoneEmail Are either of you military affiliated? Yes No If yes, branch, active or retired: If your spouse joins DO YOU WANT YOUR CONTRIBUTION RECORDS COMBINED? Yes No Yes - You and your spouse (with the same last name) will be assigned ONE envelope number for your tax records. Separate - both will be assigned INDIVIDUAL envelope numbers.BRIEFLY SHARE YOUR EDUCATION, SKILLS, AND SPIRITUAL EXPERIENCEPrevious Church/Position (if applicable) Where would your family like to get involved: Men's Ministry Women's Ministry Youth & Young Adult Missions AWC Cares (Community Outreach) Skills (Hobbies, Interests, & Expertise) List your dependentsNameDOBGradePrefer being called Add RemoveClick + to add additional rows Occupation Employer Education Degree Level AA BA MA Ph.D. How did you hear about us? Facebook Ad Website Search Attended an Event Invited by Someone Radio Ad Television Ad Instagram Other Social Media Other Who invited you? Other: What day and times are best for you and your family for a Pastor's Orientation? Select all that apply: Monday Evening (6:30-7:30 pm) Wednesday Evening (6:00-7:00 pm) Friday Afternoon (1:30 - 2:30 pm) Saturday Morning (10:30 - 11:30 am) Saturday Afternoon (1:30 - 2:30 pm) EMERGENCY INFORMATION:Name Relationship Phone 44975
