Membership Application
Please fill out the application and an elder will be in touch to schedule an interview.
Name
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Email
*
This address will receive a confirmation email
Gender
*
Please select one option.
Male
Female
Birthdate
*
Occupation
Currently in school
Please select one option.
Primary/Secondary
Undergraduate
Graduate
Name of School / College / University
(If a primary/secondary student) Graduation Date
(If undergraduate/graduate student) Degree Program
Marital Status
*
Please select one option.
Married
Single
Divorced
Widow/Widower
Select Option
Married
Single
Divorced
Widow/Widower
Children's names and birthdates
Are you currently a member of a church? If so, what is the name and location?
*
I am currently a member at the above church and would like to be a watchcare member at Kenwood (maintaining your permanent membership elsewhere)?
Please select one option.
Yes, I'd like to be a watchcare member.
I have read the Kenwood Covenant and am prepared to sign it at my membership interview.
*
Please select all that apply.
Yes.
I'd like to discuss this during my interview.
Kenwood Church Covanent (PDF)
Kenwood Church Constitution (PDF)
Submit
Description
Please fill out the application and an elder will be in touch to schedule an interview.
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