Membership Application

The House of the Lord, Airfield, Benoni

An assembly of the Full Gospel Church of God in SA

On-Line Membership Application

Yes, you've made a good decision to follow the Lord Jesus and to be a part of the Body of Christ. Now take another bold step and apply to be a part of His Body here at the House of the Lord. Attending without being a member is like living together without being married.
At the House of the Lord you can live out your Christian lifestyle in a setting which encourages a deep and intimate relationship with God the Father, the Son and the Holy Spirit - you can grow while you worship and serve in God's Kingdom. Get back to the Heart of God - fill in this application today!

Do the following:
1) Complete the information on this application form and press the "Submit" button at the end.
2) You will receive a confirmation that your application has been submitted.
3) We will send you a further link which will enable you to also give us information on your gifts, talents, abilities, areas of interest etc. That information is optional but if you complete it we will be able to serve you even better!

Are you applying for Membership

Yes No

If you select "No" we will place your information on file so that we can communicate effectively with you but we will NOT proceed with the formal membership process.

Language Preference

If Language Preference is "Other", please specify!

Lifestyle Status of person completing this application

Married Woman living with husband Married Man living with wife Child under 21 living with parent(s) Child under 21 living on your own Single over the age of 20 Married but separated Divorced Widow(er)

Husband's Surname

Husband's Initials

Wife's Surname

Wife's Initials

Father's Surname

Father's Initials

My Information

Surname

First Name

Initials

Gender

Male Female

Physical Address

Number Street, Suburb, City, Postal Code

Postal Address

Number Street, Suburb, City, Postal Code

South African ID Number or Passport Number

Home Phone Number

Work Phone Number

Cell Phone Number

Email Address

Your email address is required to enable us to communicate with you!

Attendance at the House of the Lord. I attend:

Most Sundays plus a mid-week activity Only on Sundays Occasionally on Sundays

Date Information - If the exact date is not known complete only Year & Month or Year only

Year Born-Again

Month Born-Again

Day Born-Again

Year Baptised Water

Month Baptised Water

Day Baptised Water

Year Baptised Holy Spirit

Month Baptised Holy Spirit

Day Baptised Holy Spirit

Year of Birth

Month of Birth

Day Birth

Marriage Information - only if married or previously married.

Marital Status

Number of Children

Only those living at home...

Year Married

Month Married

Day Married

Year Divorced

Month Divorced

Day Divorced

My Spouse's Information

Surname

First Name

Initials

Physical Address

Number Street, Suburb, City, Postal Code

Postal Address

Number Street, Suburb, City, Postal Code

South African ID Number or Passport Number

Home Phone Number

Work Phone Number

Cell Phone Number

Email Address

My Children's Information

Complete this information only for children who are living with you!

1st Child's Surname

First Name

Initials

Cell Phone

2nd Child's Surname

First Name

Initials

Cell Phone

3rd Child's Surname

First Name

Initials

Cell Phone

4th Child's Surname

First Name

Initials

Cell Phone

Names of other children not listed above

Please enter the names of children separated by a comma.

By the time you get here you are ready to join a growing, exciting, challenging and deeply committed part of the Church of the Lord Jesus Christ! We WILL get back to you with the next steps.

All you have to do now is press the "Submit" button. Do not leave this page until you receive an acknowledgement from us that we have recived your information!