(Print out this form and present it to an elder)

Personal Information

Applicant's Name:

Street Address:

City, State, Zip Code:

Phone Number(s):

If married, is your spouse also seeking membership? ___yes ___no

Have you been baptized by immersion as a believer? ___yes ___no

Have you read completely and are you in harmony with our constitution and the 1689 London Baptist Confession of Faith? ___yes ___no  If "no" please state concerns or disagreements on the other side of this application.

Why do you desire to be a member of Trinity Reformed Baptist Church?

(You may use the other side of this application for your response).

Name of Previous Church:

Address of Previous Church:

Phone Number of Previous Church:

Membership in Trinity Reformed Baptist Church involves your loyalty to the interests of this church. As a member you are expected to seek the church's purity and prosperity. We assume that you are willing to participate in serving Christ's people with the gifts God has given you, that you will be subject to the doctrines taught and submit to the discipline of the church. We also assume that you will financially support the Lord's work as He has prospered you.

Signature of Applicant:

Date: