New Members Questionnaire New Members Questionnaire Form PERSONAL DETAILS First Name * Surname * Date of Birth * Citizenship * Gender * Male Female FAMILY DETAILS Home Language * Do you have children? * SelectYesNo CHILDREN Child 1 Name Child 1 Surname Child 1 Birthday Child 2 Name Child 2 Surname Child 2 Birthday Child 3 Name Child 3 Surname Child 3 Birthday Child 4 Name Child 4 Surname Child 4 Birthday Child 5 Name Child 5 Surname Child 5 Birthday Marital Status * SelectMarriedSingleDivorcedWidowed Spouse's Name Spouse's Surname CONTACT DETAILS Residential Area * Home Phone Number Mobile Phone Number Work Phone Number Email * Employment * StudentWorkingSeeking employmentSelf employedAsylum seeker Employer Field of occupation Nature of Business Questions Are you a Christian? * Yes No When and how did you become a Christian? * Have you been Baptized in water? (This refer to Believer's Baptism, not infant Baptism.) * Yes No Explain the Gospel in your own words * What makes you believe that 3Ci is the church for you? * How long have you been attending 3Ci on a weekly basis? * Do you have any confusion regarding what you’ve heard at 3Ci? What would that be? * Are you in a Life Group? * Yes No Whose Life Group? Would you like to join a Life Group? * Yes No Were you part of another church before 3Ci? * Yes No Were you involved? How? Why did you leave? Are there unresolved issues with your previous church? Do you have any skills/talents/interests that you believe could serve 3Ci? If you are human, leave this field blank. Submit
