Your Name*

Your Email*

Address

City, State Zip

Home Phone

Cell Phone

Date of Birth

Employer

Work Phone

Number of Years with this company

Self-Employed?  Yes No

Describe Your Work and/or Expertise, including duties and responsibilities

Please list your skills, spiritual gifts, hobbies or talents

Please list all degrees earned and professional licenses/certifications

Number of Years in this field/industry

Wedding Anniversary (if applicable)

List other family members in your household

Previous Church Home (if applicable)

Why do you want to be a part of this body?

I am a born-again Christian.  Yes No

I have been baptized.  Yes No

Will strive to live a Godly life.  Yes No

I/We would like to serve on the following committee(s):
(check all that apply)
 Hospitality Committee - Greet and serve guests during special events and services. Food Services Committee - Prepare food for special events and services. Benevolence Committee - Maintain the clothing and food pantries, and assist those in need of clothing and/or food. Youth/Young Adult Ministry Team- Plan and attend outreach events and activities for youth and young adults.

I prefer to be reached by:  Phone E-Mail Either

No one will see your information but NLMWOC, and we will not sell your information to anyone.