Application for Membership

Membership Questionnaire

Question Title

* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Which CrossWinds campus do you attend?

Other (please specify)

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* 3. Personal Information

Profession or Occupation

Company

Marital Status

Members of immediate family (relationship and age)

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* 4. Personal Testimony (When and how did you come to faith in Christ as your Savior)

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* 5. Do you believe and affirm our Statement of Faith?

If not, with what point(s) do you question?

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* 6. Have you been baptized since you became a Christian?

Is yes, When/Where?