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Mosaic Church New Membership Application Individual & Contact Information ( 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?: __________________________________ ________________________________________________________________________ March 2015 Page 1 of 3 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 March 2015 Page 2 of 3 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. March 2015 Page 3 of 3