Petition for Membership - Christ Fellowship of Kansas City

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

Date of Birth*

Family Members*

Please tell us about the members of your family and/or others who live with you.

Name	Relationship	Date of Birth

Congregation/Elder*

Please select the congregation and elder with whom you have been discussing membership in Christ Fellowship. When you submit your below responses, they will be routed to this elder.

Kearney – Jim Chrisman
Liberty – Jim Elliff
North Kansas City – Jordan Hasty
Parkville – Steve Burchett
Weston – Daryl Wingerd

In your own words, briefly list and explain the things you think are absolutely essential for a person to know, believe, or do in order to avoid hell and go to heaven.*

Describe in some detail your conversion to Christ, including any portions of Scripture which God used to bring you to repentance and saving faith.*

What evidence do you see in your own life that helps assure you that you are truly saved?*

If you have been baptized, describe the circumstances. Include things such as the approximate date, your age at that time, your reason(s) for being baptized, the name and denominational affiliation of the church, the mode used (i.e., immersion, pouring, sprinkling, etc.) and, if possible, the name of the person who baptized you.*

What is your understanding of the purpose and significance of baptism?*

Tell us about any gifts, talents, or abilities that you have used, or could use to serve the body of Christ.*

List the churches where you have been a member or regular attender as an adult, providing at least the name of the church, the city in which it is located, and if known, the name of a pastor. Briefly describe your reason(s) for leaving each church (one short sentence or phrase will suffice).*

Have you ever left a church because of personal involvement in a conflict, or because you were the subject of church discipline? If yes, please explain.*

What person(s), living or dead, have influenced you the most in your Christian life? In what way(s) did they contribute?*

Are there any personal, physical, or family situations your pastors should know about or with which you currently need help? (i.e., disabilities, struggles with sinful behavior, difficult family situations such as marital strife or rebellious children, etc.).*

Have you ever been divorced and/or remarried after a divorce? If yes, please explain.*

Are there any other matters which you believe we should know about in order to serve you effectively as pastors?*