Collegiate Member Form

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    What is Collegiate membership?

    A provisional membership that allows you, as a college student living in a dorm, to maintain membership at your home church while worshiping, growing, and serving at Summit during your college years.
    If you are a new student, please read the church covenant and fill out the entire form.
    For returning students, please fill out the form to the first line break and also complete the last two sections.
    First Name
    Last Name
    Birthdate
    Dorm
    Phone
    Email
    Home Address
    Year
    Seminary Year
    Home Church
    Church/Pastor's Email
    Church Address
    Pastor/Youth Pastor Name

    Please write a brief paragraph describing your salvation experience
    Have you been baptized
    What's the most recent Christian service you performed in a local church

    By checking the box below, I swear that I have never been charged in a court of law or any other legal proceeding (or had a criminal offense expunged from my record) involving sexual abuse, harassment, or exploitation.

    Date

     

     

     

     

     

     

     

     

       

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