Chinese Baptist Church
曉市頓華人浸信會
Membership information update
Name ______________________________________________
Name in Chinese if any _______________________
Address ______________________________ City _____________
Zip ________
Email Address ____________________________
Birthday _______________
ME HERE
Please ✔areas that apply below.
Congregation : English___ Cantonese ___ Mandarin ___
Country of Origin: _____________;
Marriage Status : Married_____Single_____Divorce____
Day Phone ___________ Eve Phone ___________ Cell# ______________ Fax ______________
Church Member? ___; Date Started Attending Church _________; Date Accepted Christ _________
Age 18-23
Age 36-40
Age 51-60
Circle One
Age 24-30
Age 41-45
Age 61-70
Age 31-35
Age 46-50
Age 70+
Circle All That Apply
Infant
Preschool
Junior High
Senior High
Adult
Elementary School
College
# Of Children
Care partner - Crisis Experience and Background (Circle All That Apply) - to assist visitors
Divorce
Gambling
Alcoholism
Eating
Disorders
Loss of Family Member
Child Rearing
Financial Crisis
Marriage Crisis
Chronic Health Problems
Other Crisis/Health Issue Background ___________________________________________________
Educational Background to Match Same Visitor Field (Circle Below)
N/A
Some College
College Degree
Doctorate
Professional Certification
Professional Degree
Master’s Degree
Ministry Involvements: Please ✔. If you are leader of the ministry, please add “L” to it.
AWANA Club
Action Plan subteam
Care Ministry
Chinese Young Married
已婚青年團契
Benevolent Fellowship 仁愛團契
Northwest Home Fellowship
Nursery Ministry
Peace Fellowship 和平團契
Deacon Body
Building Committee
Baptism
Beatitudes 福樂團契
Chinese School
Chinese Choir
Chinese Sunday School
中文部主日學
ESL ministry
English Ushers
English Sunday School
English praise Team
English Choir
Enoch Katy Fellowship
以諾Katy團契
PULSE fellowship
Publication ministry
Preschool Praise
Prayer Ministry
Personnel Committee
Recreation Ministry
Rainbow senior fellowship
Chinese Youth 青年團契
Enoch SouthWest Fellowship
Chinese praise team
Family Matters Fellowship
Crossroads fellowship
Church Clerk Committee
Chinese Men's Ministry
Church Administration
Computer Ministry
Career/MOSAIC Ministry
Church History
Church Hostess
Chinese Ushers
College student fellowship
Single Adult
Stewardship & Finance
Committee
Financial Secretary/Tellers
Committee
Treasurer Committee
Food Service
Vacation Bible School
Joy Fellowship 喜樂團契
Welcome Ministry
Lord's Supper
Women's Ministry
Music Ministry
Young Musicians
Membership Committee
Youth Praise Team
Missions Committee
Young Family fellowship
Youth Fellowship
Mandarin FHLove Fellowship
信望愛國語團
Young Married Fellowship
Nominations Committee
Spouse Name ________________ Spouse Employment ________________________________
Children’s Name (if any) _________________; __________________; ____________________
Professional Information
Prime profession______________________________
Small Business Owner_____
Executive Management______
Additional General Background Information (Hometowns you have lived in)
City _________________________ State _____City __________________________ State ______
SHAPE DATA
Spiritual gift___________; _____________; _____________; ___________
Heart
____________; _____________; _____________; ___________
Ability
____________; _____________; _____________; ___________
Personality ____________; _____________; _____________; ___________
Experience ____________; _____________; _____________; ___________
Please check in the table below the time you think you can commit to Connection Ministries
CONNECTION PARTNER CALLS OPEN AT ANY ONE TIME
1
2
3
4
5
6
7
Open Assignments
8
9
10
Other
NOTE: The ConnectionPower™ Director will limit the number of calls assigned to you based on how you
fill out the schedule above. I pledge, to the best of my ability, to faithfully complete my
ConnectionPower™ assignments.
____________________________
Name
____________________________
Signature
_____________
Date
Submission of this information sheet is voluntary. Submitted information is strictly for CBC
internal use.