Membership Registration

The information on this form will be kept in the strictest of confidence and will only be used for the purpose intended. Only authorized staff personnel will have access to this information as deemed necessary by the Pastor. Your cooperation in providing the following information is most appreciated.

If you would like print this form and send to the church or provide for use by others, download the Membership Enrollment form and fax it to the church office at: (404) 373-1752

If you have questions or need further assistance, please contact Sis. Ruby Johnson or  Membership Services Office at (404) 377-0561.  

OUR CHURCH CONSTITUTION

(Article 3: Membership; Section 3: Duties of Church Members; Item D)  "It shall be the duty of each member of this church to register on an annual basis and obtain his / her membership envelopes. If a member fails to register, his / her name will automatically drop from the church membership statistics unless a member is sick or disabled. If a member is sick or disabled and wants to remain on the active status, he / she should notify or have someone notify the church office immediately at (404) 377-0561 and make the request known."

The information on this form will be kept in the strictest of confidence and will only be used for the purpose intended. Only authorized staff personnel will have access to this information as deemed necessary by the Pastor. Your cooperation in providing the following information is appreciated.

Current Members: Please complete sections A, B, E, and F only.

Request Forms

A. CONTACT INFORMATION

     

* Required Fields

Date Joined:

Member Number:

Dr. Mr. Mrs. Ms. Miss Rev. Other

* First Name:

Middle or Maiden Name:

* Last Name:

Nick Name / Goes By:

Home Address:

City:

State:

Zip:

 

* Email Address:

Cell Phone:

* Home Phone:

Home Fax:

Work Phone:

Work Fax:

Occupation/ Position:

Employer/School Attending:

How do you prefer to be contacted?

Date of Birth:

 

 

Place of Birth:

 

 

Marital Status: Single Married Divorced Separated Widow      Wedding Anniversary

Education: Grade School High School College  College Grad School Technical Medical Law

Impairment (s): Mobility/Wheelchair Hearing Sight Other

 

B. FAMILY INFORMATION

Household Family Member(s) of
The Greater Piney Grove Baptist Church

Male
or
Female

Relationship
Daughter-Son-Niece-Nephew-Grandchild

Envelope/ Membership
Number

Baptized
(Y/N)

M
F

Y
N

M
F

Y

M
F

Y
N

M
F

Y
N

 

C. RELIGIOUS BACKGROUND INFORMATION

How did you learn about The Greater Piney Grove Baptist Church?

Whom do you know at The Grove?

 

Have you been baptized? Yes No

Date Baptized (approx)

Proposed Method of Joining This Church
Profession of Faith Baptism Restoration Letter of Christian Experience Watchcare

Name & Address of Previous Church:

Offices held:

 

D. TIME AND TALENT SURVEY

Please list your Spiritual Gifts (if known):


Please check those ministries which interest you:

AWSUM (Singles)

Haggai (Single Parents)

Nurses Ministry

Business Connection

His Hands Sign Language

Outreach Ministry

Children’s Church

Jail & Prison Ministry

Recreation Ministry

Christian Education

League of Educators

Servanthood (Volunteer) Ministry

Collegiate Ministry

L.I.F.E. (Seniors)

Sisterhood Ministry

Counseling Ministry

Lois (Grandmother)

Social Action Ministry

Courtesy Ministry

Men of Vision Ministry

Tape Ministry

Culinary Ministry

Missions

Transportation Ministry

First Aid & Health Center

Multi Media & Public Relations

Usher Ministry

Frank Jones Scholarship

Music Arts and Drama

Youth Ministry

Outside interests/hobbies/organizations:

E. MEMBERSHIP UPDATE

Which is your Tribal Ministry? (Select your tribe based on the first initial of your last name)

Reuben (A-B)

Levi (F-G)

Joseph (K-L)

Naphtali (R-S)

Simeon (C)

Issachar (H)

Benjamin (M)

Gad (T-V)

Judah (D-E)

Zebulun (I-J)

Dan (N-Q)

Asher (W-Z)

Have you completed your New Members Orientation Class? Yes No

Please list any current ministry involvement below:

F. ACKNOWLEDGEMENT

Your picture and the information you have provided on this membership record are intended for use only by The Greater Piney Grove Baptist Church, including, for example, potential publication in our membership directory or newsletter. Do we have your permission to use them for these purposes? Yes No

 

     

The information on this form will be kept in the strictest of confidence and will only be used for the purpose intended. Only authorized staff personnel will have access to this information as deemed necessary by the Pastor. Your cooperation in providing the following information is most appreciated.

 

 

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The Greater Piney Grove Baptist Church, Dr. William E. Flippin, Senior Pastor

1879-1921 Glenwood Avenue, SE, Atlanta, GA 30316 | ph (404) 377-0561 | fax (404) 373-1752 | Toll Free 1-888-901-7600 (Intra-state)

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