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Collegiate Member Form
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Collegiate Member Form
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
-Choose One-
Freshman
Sophomore
Junior
Senior
Seminary Year
-Choose One-
1st
2nd
3rd
4th
5th
6th
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
Yes
No
What's the most recent Christian service you performed in a local church
I understand that home church will be contacted regarding my service at Summit
I understand that I will abide by Summit's Church Covenant
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.
Check here
I swear that all the information on this form is true
Date
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