Birthdate *

Address *

When did you become a follower of Jesus and why did you decide to follow him? *

Have you been baptized as a child believer? *

Have you been baptized as an adult believer? *

Have you been a member of any other church(es)? If so, please list the church/location and tell us when you attended.

As a potential participating member of Scullville Bible Church's family, what vocational, spiritual, and practical gifts, abilities and/or experiences do you believe might be helpful to the work of the Body of Christ?

Have you looked at and are you in AGREEMENT WITH our online vision, mission, values, and Constitution/Doctrinal statement? What questions or concerns do you have? *

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