Membership Application
First Name
Last Name
What membership status are you requesting?
Full Voting Membership (regular attending for 6 months)
Associate Membership (College students and Missionaries)
Youth Membership (12 - 18 years old)
Home Address
Home City
Home State
Home Zip Code
Phone Number
Email Address
Birth date and place of birth (example: 10/20/1974, Chicago, IL
Marital Status
Single
Married
Widowed
Divorced
Divorced and Remarried
Spouse's name and anniversary (if applicable)
Children who live with you and their date of birth
Salvation Testimony
Have you been baptized by immersion after since you have been saved?
Yes
No
How long have you been attending PVBC? (example: 8 months)
What are the main reasons why you want to join PVBC?
Have you read the PVBC Doctrinal Statement and Constitution? Are you willing to give public ascent to the Doctrinal Statement?
Yes
No
Are you willing to support the ministries of PVBC by regular and systematic giving to the financial needs?
Yes
No
Are you willing to support the ministries of PVBC by regular involvement in volunteer service?
Yes
No
What types of ministry are you willing to be considered for in the near future?
Nursery/toddler
Teaching children
Children's helper/leader
T-ball Ministry
Teen helper/leader
Teaching adults
Evangelism/outreach
Missions Team
Physical labor
Grounds keeping/landscaping
Facility Upkeep
Car maintenance/repair ministry
Usher
Greeting/hospitality
Financial counting/accounting
Music
Sound ministry
Videography/photography
Computer help/website
Graphic design/publications
Visitation
Preparing meals
Are there other areas of ministry not listed above that you would be willing to be considered for in the near future?
What is the most recent church with which you have been affiliated prior to coming to PVBC? (example: Grace Bible Fellowship - Topeka, KS)
Would you be willing to have a member of our elder board or pastoral staff contact that church to ensure that you left in good standing?
Submit