New Member Survey - Timothy Lutheran Ministries

Home or Cell Phone(Required)

Email(Required)

City & State Born in?

Gender?(Required)

Employer?

Church Name and City/State

Martial Status:(Required)

Maiden Name

Last Name

Church Name and City/State

Number of Children?(Required)

Up to 6 Children, If have more than 6, Select 6 and add the first 6 then please Contact the Church Office... 816-228-5300

Yours or your spouse's Special Skills and Training you would be willingly to Share with Timothy?

So we may be able to match you up with ministries that would allow you to fully serve Jesus

Connections: Who do you know at Timothy? Why did you Choose Timothy?

Also list any additional Information that we may be able to serve you better

CHURCH BACKGROUND

Please Share the Name of Church, Address, City/State Phone, and Affiliation of your spiritual background

Please Provide information about ALL children (Infant, youth, college ect.

Birth Date(Required)

1st Child

2 Children

Birth Date(Required)

1st Child

Birth Date(Required)

2nd Child

3 Children

Birth Date(Required)

1st Child

Birth Date(Required)

2nd Child

Birth Date(Required)

3rd Child

4 Children

Birth Date(Required)

1st Child

Birth Date(Required)

2nd Child

Birth Date(Required)

3rd Child

Birth Date(Required)

4th Child

5 Children

Birth Date(Required)

1st Child

Birth Date(Required)

2nd Child

Birth Date(Required)

3rd Child

Birth Date(Required)

4th Child

Birth Date(Required)

5th Child

6 Children

Birth Date(Required)

1st Child

Birth Date(Required)

2nd Child

Birth Date(Required)

3rd Child

Birth Date(Required)

4th Child

Birth Date(Required)

5th Child

Birth Date(Required)

6th Child

More than 7 Children?(Required)

Please Contact Church Office... 816-228-5300, but add the first 6 above.

New Member Profile

Please Provide information about ALL children (Infant, youth, college ect.

2 Children

3 Children

4 Children

5 Children

6 Children

Title