Membership Form | Calvary Evangelistic Assembly

First Name *

Last Name *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Home Phone

Cell Phone

Email Address

Are You Born Again?YesNo

If yes, for how long

Were you baptized in Water?YesNo

If yes, for how long

If No, Do you plan to get baptized?YesNo

If Yes, When?

Would you like counseling?YesNo

Were you a member at a previous church?YesNo

Why did you leave?

Welcome to CEA! We would love to meet with you. Please tell us the best time and contact number, and we will connect with you regarding the new members orientation.

Tell us what special gifts or talents you thrive in, so we can properly cater to your needs:

What area of the Ministry is your passion?

Are you attending with family members?YesNo

What is their name(s)?

Give two references: (optional)

First Name

Last Name

First Name

Last Name