Membership Interest Form for VUCC

Please fill out this form in its entirety. Please submit one form for each adult. Children may be listed on either form.

First Name

Last Name

Spouse/Partner's name:

Marital Status

Wedding Date (optional)

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Please enter your mobile phone.

Phone Number

Email

Please answer the following:

Were you baptized?

yes

no

unsure

Were you confirmed?

yes

no

unsure

Former Church / Location:

Present Occupation:

Former Occupation:

Please enter Child(ren) Information or at least one next of kin:

Child or Next of Kin's name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Email address:

Please give a brief autobiographical sketch, i.e. career highlights; hobbies, education, skills, talents and interests

Text Area

Christian Stewards are responsible persons who make regular offerings of themselves in time, talent and treasure. Please help us to understand more about YOU so that together we may serve our Lord and our Church, community, nation and the world.

I would like to be involved in the following ways: