Download Mosaic Church New Membership Application

Mosaic Church New Membership Application
Individual & Contact Information​
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Please print legibly)
First & Last Name:​
__________________________________________________________
Mailing Address:​
___________________________________________________________
Mobile / Home Phone:​
__________________ Email Address:​
________________________
Date of Birth:​
________________________ Date of Baptism:​
_______________________
Marital Status (circle): Married or Single
Date of Marriage:​
_______________________
Personal Response
Do you affirm Mosaic’s Statement of Faith?
❐ Yes
❐ No
Do you affirm Mosaic’s Covenant?
❐ Yes
❐ No
Which of the sermons related to membership have you listened to (www.mosaicA2.org/membership)?
❐ 9/9/2012- What is the Church
❐ 9/16/2012 - Real Relationships
❐ 9/23/2012 - What Kind of Church?
❐ 9/30/2012 - Members
❐ 1/5/2014 - Covenant
❐ 2/22/2015 - Elders
Relationship with the Lord
This is where I would place myself spiritually at this point in my life:
___ ​
I do not have a personal relationship with Jesus Christ.
___ ​
I have recently trusted in Jesus as my Lord and Savior and I want to grow.
___ ​
Lack of motivation, struggling in prayer and time in the Word.
___ ​
Spiritual roller coaster of ups and downs with the Lord.
___ ​
Growing steadily, stable in my relationship with the Lord.
___ ​
Consistent walk with the Lord over an extended period of time; desire to guide others in a deeper
understanding of what it means to walk personally with Jesus Christ.
Previous Church Experience
Please provide the name of the church (including city and state) where you were previously attending
and how long you were attending:​
________________________________________________
Why have you decided to leave this church?:​
________________________________________
What led you to seek membership at Mosaic Church?:​
__________________________________
________________________________________________________________________
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Mosaic Church New Membership Application
Briefly describe how you came to trust Jesus
Use these questions as guidelines: (1) What was your spiritual life like growing up: church-going,
non-church-going, committed, unaware, curious? (2) How did you first come to grasp the gospel? (3)
What does it mean to you to be a “Christian” or “follower of Christ”? (4) In what ways has following
Christ changed you?
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Past and Current Ministry Experiences
The following are current or previous ministry experiences where I have / am serving. (Please include
name of church or parachurch org., city, role(s) of services, time involved and whether you enjoyed it.)
1. _____________________________________________________________________
________________________________________________________________________
2. _____________________________________________________________________
________________________________________________________________________
3. _____________________________________________________________________
________________________________________________________________________
Please check any of the areas in which you would be interested in serving:
Sunday Opportunities:
❐ Help with the kids’ ministry program
❐ Greet, usher, help with donuts and coffee
❐ Provide rides for college students
❐ Set-up and/or tear-down or pulling the trailer
❐ Help with sound, video, or other tech
General Volunteer Opportunities:
❐ Service projects in the community
❐ Help with prep activities for the kids’ ministry
❐ Help with graphics design, media or writing
❐ Provide meals or other support
❐ Welcome & help new people get connected
Prayer:
❐ Pray for Mosaic prior to worship time on Sundays
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Mosaic Church New Membership Application
Giving:
Are you committed to regularly giving back a portion of your income to build God’s kingdom through
Mosaic Church?
❐ Yes
❐ No
If not, is there a specific reason?​
_________________________________________________
________________________________________________________________________
Note: What has shaped Mosaic’s position regarding giving? The Old Testament provides the backdrop instructing God’s people to give the first 10% of their income back to Him - and as such, it ought to
move us all toward adopting at least that percentage. The tithe is the starting point. In response to
Christ’s lavish grace and His cost on the cross, the New Testament goes on to teach proportional giving,
and spurs us on to give even more to advance His kingdom as God individually prospers and leads. The
New Testament also stresses the importance of a cheerful giver, and giving willingly with an open hand.
This heart attitude is what we value most in our members. We also recognize that the final decision of
your financial giving is ultimately between you and God. We honor the privacy of this process, and your
financial records are kept private. This being said, we have a high level of trust that members are
contributing regularly to support our church and believe God will bless and empower us as we joyfully
band together to bring Him glory.
Bonus Question ​
(optional)​
:
If you had unlimited resources and the assurance that you wouldn’t fail, where would you most like to
make a difference for the Kingdom of God?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps:
Please submit your application to the information table on Sunday at Mosaic or scan and email to
[email protected]. You will be contacted and scheduled for the next available Mosaic Elder
interview. The purpose of this confirmation interview is to affirm your commitment to Mosaic and to
help you by discussing next steps in your spiritual journey. Please contact Joseph Hutchinson
([email protected] or 248.675.9716) if you have any questions.
Thank you for taking the time to complete this application. We are not looking for members who “have
it all together”, but we are looking for individuals who are interested in passionately pursuing Jesus
Christ together.
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