INFORMATION & MEMBERSHIP REQUEST Please enable JavaScript in your browser to complete this form. - Step 1 of 3Today's date *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Full name *FirstMiddleLastGender *MaleFemaleDate of birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone (home/cell) *Phone (work)Email *Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOccupation *NextMarital status *SingleMarriedSeparatedDivorcedWidowedWedding date *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Does your spouse attend New Hope? *YesNoSpouse's full name *FirstMiddleLastSpouse's date of birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Do you have children? *YesNoChildren (living at home) *Full name & date of birthNextI have the following expertise/hobbies:How long have you been attending New Hope Church? *6 months or less6 months to 1 year1 to 2 years3 to 5 yearsOver 5 yearsDescribe your relationship with God: *Trying to figure it out/curiousNew ChristianI've been a Christian for a while but I need to grow closer to JesusI would like to talk to someone about questions I have regarding salvation and/or baptismI'm not sure what I believeCommitted ChristianIf you are a follower of Jesus, where and when did that happen? *New HopeOther placeNot yetWhen *(month & year)Where and when *Location and date (month & year)Have you ever been baptized? *I was baptized as a childI was baptized by immersion (under water)I'd like to talk to someone about being baptized by immersion so I can join New HopeWhere and when were you baptized? *Location and date (month and year)I would like to join New Hope: *By transferring my membershipBy being baptizedSingle Line Text *Single Line Text (copy) *Single Line Text (copy) (copy) *I've been part of the following churches in the past: *I'd like to get involved by helping with: *KidsTeensYoung AdultsAdultsMusicOutreachGreaterTechOtherSubmit