Membership Application

(Photo)

Date: ________________________________________         Date of Birth: ___________________________

Name________________________________________         Chinese________________________________

Address________________________________________________________________________________

Permanent Address ______________________________________________________________________

Home Phone: _________________________________         Business: ______________________________

Email: _______________________________________         Fax: ___________________________________

□ Single        □ Married        □ Widowed        □ Divorced

□ Student         □ High school         □ College         □ Graduate

Grade or Year ______________________________         Major __________________________________

□ Occupation _________________________________         Working at ______________________________

I have the following expertise________________________________________________________________

I have been active in a church for ___1 yr ___2 yr ___ 3 yrs ___ 5 yrs ___10 yrs

_________/_________ First came to the United States (if you are from overseas)

_________/_________ First came to Boston (if you are born elsewhere)

_________/_________ First came to CBCGB

_________/_________ First regular attendance at CBCGB

(Month) / (Year)

I have been active in the following churches in the past

Years involved         Church name         Location         Member?         Position of Service __________________________________________________________________________ __________________________________________________________________________

How would you describe your relationship with Christ?

□ Seeker/curious         □ Agnostic         □ I’m not sure what I believe

□ Committed Christian         □ New Christian         □ ________________________

Information on Family Member

Spouses Name ____________________________         Date of Birth _______________

Does your spouse attend CBCGB? ____________

Children

First Name         Last         Chinese Name         Birthdate         M/F         Live w/ you?         Attends CBCGB? _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________

Circle three and underline your top Spiritual Gift that you believe you may have:

Administration         Caring         Counseling         Craftsmanship         Evangelism         Exhortation         Faith

Giving         Healing         Helps         Hospitality         Intercessory         Prayer         Knowledge

Leadership         Teaching         Wisdom