|
Membership Application Highways and Hedges Ministry, Inc. Instructions: Please print clearly. Be sure to fill in all blanks and check all boxes. Please include all references. Application Date: ______________________________ Name: ________________________________________________________________ Name of spouse (if co-applicant): _________________________________________ Street Address: ________________________________________________________ City: ________________________________State: ___________Zip: _____________ Email: ___________________________________________ Home Phone: (____)_______________Cell Phone: (____)______________________ Home Church: _________________________________________________________ How long you have attended: __________________________________ Pastor’s Name: ________________________________________________________ Home Phone: (____)__________________Church Phone: (____)________________ Character Reference #1 (Name): __________________________________________ Relationship: Friend Family Member Years Known: ________________ Home Phone: (____)___________________Cell Phone: (____)__________________ Character Reference #2 (Name): __________________________________________ Relationship: Friend Family Member Years Known: ________________ Home Phone: (____)___________________Cell Phone: (____)__________________ To be filled out by your pastor or church leader. Dear Pastor, Highways and Hedges Ministry is accepting for membership, Christian men and women who are mature in their faith, faithful to their local church and ready for ministry. What can you tell us about this applicant? (Include spouse if applicable). Attach additional sheet if necessary. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ (Continued on back) To be filled out by the applicant. Dear applicant, in just a few sentences, tell us what Jesus Christ means to you today. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ To be filled out by spouse (co-applicant). Dear co-applicant, in just a few sentences, tell us what Jesus Christ means to you today. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ If you have not read a copy of the H&HM Guidelines and mission statement please do so before continuing. 1. I have read the H&HM Guidelines. I understand and support them. Yes No 2. I have read the Mission Statement. I understand and agree with it. Yes No 3. I understand that H&HM is a ministry, not a club or riding organization. Yes No 4. I understand that the center patch I will receive is not mine and will be willingly returned should I ever leave this ministry for any reason. Yes No Applicant’s Signature: __________________________________________________ Date: _________________________ Spouse’s Signature (if co-applicant): ______________________________________ Date: _________________________ Authorized Signature: ___________________________________________________ Date: _________________________ (Any H&HM National Director). Mail completed application to: Highways and Hedges Ministry, Inc. PO Box 326 Alexander, AR 72002 If you have any questions please call: (501) 804-1929 Please allow approximately two weeks for processing of the application. |