APPLICATION
MESSIAH’S DISCIPLES MINISTIES
(Please print e-mail address clearly as this is how we will contact you or fill out on- line)
PERSONAL PART
Name _______________Birthday __________________ E-Mail Address________________________________
Address_____________________________________________Phone_______________
City_______________________St_________________________Zip___________
Spouse’s Name ____________________________ Birthday________________
CHRISTIAN PART
When were you saved? ____________Where? _________________________________________
Do you attend a New Testament Church or Fellowship? Yes _____No ________Name of Fellowship_____________
Your Pastors Name and Phone Number_______________________________________________________________
Can you lead someone to Jesus? Yes ________No__________
Have you led someone to Jesus? Yes ________No__________
Can you give your personal testimony publicly? ____________________________________________
Do you drink alcohol in excess. Never ________Sometimes _______Often_________
Do you do drugs? Never _________Sometimes ________Often
Do you try your best to win the lost to Jesus? Yes _______No__________
Will you make every effort to attend the monthly chapter meeting? (If Applicable) Yes _______No _________
Will you attempt to make all functions in your area? Yes ________No________
Will you faithfully turn in your patch to the chapter president or National president if you leave
? Yes _______No ____
Will you pray for all us as we cross your mind, especially the leadership? Yes _______No______
Whom have you spoken with from Messiah’s Disciples about Membership?__________________________________
Are you currently a member of another Motorcycle Ministry?_____________________________________________
________________________________________________________________________________________________
Mail to:
Messiah’s Disciples M/M
Attn; Sheila Chase
1419 Harvard Ave
Fort Smith, AR 72908-8512