St. James AME Church

St. James A.M.E. Church New Member Registration Form

Application For:

     New Membership     Envelope Request      Address Change

Marital Status:

     Single     Married    Separated     Divorced     Widow      Widower

Name:

Address:

City: State: Zip:

Home Phone with area code:

E-Mail Address:

Person to contact in case of EMERGENCY:

Relationship: Phone:

List other members of your immediate family who are members of St. James Church

Name:     Relationship:           

Procedure for membership (check one):

Convert     Transfer     Letter     Watch Care  Profession

Are you saved?             Are you a tither?            Are you a registered voter?

Yes                           Yes                              Yes

No                             No                               No

Have you been baptized?

     Yes

   No, but I would like to become a candidate for baptism.

    No

Membership (check one):

Clergy    

Lay Member      

Lay Member (Retiree)     

Youth (18 or younger)

What areas of church participation are you interested in?

Choir                                           Music

Education                                    Prayer

Family Life                                  Women's Ministry

Liturgical Dance                          Young Adult

Men's Ministry                            Missionary Work

Ministries of Hope & Healing       Youth Ministry

Other