Membership

PROSPECTIVE MEMBER INTAKE FORM

BUILDING DISCIPLES WINNING THE WORLD FOR CHRIST

Rev. J. Kenneth Hawley, Jr., Pastor

Welcome!

We are delighted that you want to become a disciple of Christ through membership/partnership with Open Door Sanctuary, located in Philadelphia, PA. It is our goal to provide you with the spiritual armor of God through Jesus Christ to fulfill the Great Commission of Jesus:

“Matthew 28:18-29”

Answering the questions below automatically fills out the appropriate application form and directed to the Pastor’s staff for review. This should take approximately 5-10 minutes and must be done in one session as the form cannot be saved.

Please complete the form below in its entirety. Mandatory fields are marked with an asterisk (*). Please do not use ALL CAPS.

Are you the head of household?* (You are considered the head of household if you are over 18 years of age and the only member of your household who is joining; or if your tax filing status is head of household.) *

If NO, specify Family Position:

Title *

Name *

First

Middle

Last

Email *

Phone Number *

Address 1 *

Address 2

City *

State *

Postal Code *

Birth Day *

Birth Month *

Birth Year (YYYY) *

Gender *

Ethnicity/Race

Marital Status *

Is spouse a member/partner of Open Door Sanctuary?

Spouse's Name (if applicable)

First

Middle

Last

Secondary Phone

Emergency Contact *

First

Last

Relationship *

Emergency Contact Phone *

Employment (Full-time, Part-time, etc.)

Profession

Highest Level of Education

Degree(s) Obtained

List your Interests, Skills, and Talents

List all children in the household and their date(s) of birth

List other relatives that are disciples of this church but do not live in your household. PLEASE INDICATE THE RELATIONSHIP

List any ministries you are currently serving in.

I will be attending

In Person
Virtual Service (Live-Stream)

Joining as: *

New Believer (desiring to be baptized by full Immersion)
Experienced Christian (previously baptized by full immersion)
Requesting Discipleship Restoration (previous member/partner of Open Door Sanctuary)
Global Disciple (desiring to connect with Open Door Sanctuary but live outside of PA, NJ, DE)

Membership

MEMBERSHIP

PROSPECTIVE MEMBER INTAKE FORM

BUILDING DISCIPLES WINNING THE WORLD FOR CHRIST

Welcome!

Our Location

Contact Us:

Follow Us: