Membership Application

Thank you for your interest in becoming a member of Pataskala Grace Church! After submitting the following application, your request for membership will be reviewed by our Board of Elders. Once your application has been reviewed, we will notify you of approval or contact you to discuss any concerns we might have.

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Birthdate

Marital Status

How long have you attended Pataskala Grace?

How are you involved in the ministry of Pataskala Grace?

Why would you like to become a member of our team?

Have you trusted in Jesus Christ for salvation from your sins? Do your remember when?

Please share your salvation testimony.

How would you explain the process of salvation to a friend who asks? How is a person saved?

How is your life different because of Jesus? What is Jesus doing in your life right now?

Have you been baptized via immersion subsequent to your salvation? Please provide date, place, etc.

I have read and affirm the Pataskala Grace Church Membership Privileges & Responsibilities document.

Signature