Profile Update Form 2019

COMPLETE ONE FORM FOR EACH INDIVIDUAL IN YOUR HOUSEHOLD -- CHILD AND ADULT

Please note that while several fields are marked as optional, we feel all of the requested information is important to have. If you are willing, please answer as many questions as possible.

Main Information

Name

Preferred Name

Suffix (Jr., Sr., II, etc.)

Title (Mr., Mrs., Miss, Dr., Pastor, etc.)

Gender

Male Female

Marital Status Single Married Separated Engaged Divorced Widowed

Birthdate

Membership Status

Active Member Inactive Member Active Attender Inactive Attender Active Associate Member Inactive Associate Member Visitor

Answer the following question according to these descriptions: HEAD OF HOUSEHOLD=primary contact for the household; SPOUSE=spouse of the primary contact/HOH; ADULT=another independent adult in the house; CHILD=minor or dependent

Family Role

Head of Household Spouse Adult Child

Contact Information

If this profile update is for the HEAD OF HOUSEHOLD, SPOUSE or an ADULT then please answer the following for that individual.

If this profile update is for a CHILD then please fill in with information for the primary household contact or HOH.

If you DO NOT HAVE a landline or HOME PHONE then please use your household's PRIMARY PHONE NUMBER for that answer blank (even if it is the same as the cell phone number).

Home Phone

Cell Phone

Work Phone

This address will receive a confirmation email

Address

What are the best ways to communicate with this individual?

Home Phone Cell Phone -- Calls Cell Phone -- Text Messages Work Phone Email Snail Mail

Are you a Seasonal Attender? Yes -- College Student Yes -- Summer/Vacationer Yes -- Snow Bird Yes -- other No

Secondary Address

Secondary Address City, State, Zip

Dates/Months at this address, if known

Emergency Contact Name (someone NOT in your household)

Emergency Contact Phone

The following two questions are related to our member directories. At this time we are not planning to utilize the online directory option but want to be prepared if we do so in the future. We do, however, print member directories from time to time.

Include in online directory? Yes No

Include in printed directory? Yes No

Important Milestones

Have you been Baptized?

Yes No

Baptism Date

Have you been Confirmed?

Yes No

Confirmation Date

Wedding Date

Who I Am

Employer

Occupation

Is there anything else you want us to know?

Description

Thank you for taking the time to assist us in updating our membership profiles. The information we receive will help us communicate more efficiently with our church family and better serve our congregation. Please fill out form and click "submit".

Profile Update Form 2019

Description

Please Fix the Following