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Local Church

MNC-CYF MEMBER PERSONAL DATA SHEET

Name ____________________________________________________________ Nickname _____________________________
Home Address _____________________________________________________ Contact. No. ___________________________
E-mail address ____________________________________________________________________________________________
Birth Date _____________________________ Birth Place _________________________________________________________
Civil Status: S M Other ____________________ Gender Female Male Sexual Orientation (optional)______________
Baptism: (place, Church) _________________________________ Date ____________ Pastor ________________________
If married, Name of Spouse __________________________ Citizenship ________________ Wedding Date _____________
Children: (Name, Birth date) ________________________________________________________ ____________________
________________________________________________________ ____________________
________________________________________________________ ____________________
Parents: Mother _________________________________________ Father ________________________________________
Occupation ___________________________________________ Place __________________________________________
Office Address __________________________________________________________________________________________
Education: (School, Grade/Degree, Year graduated)
___________________________________________ _________________________________ _____________________
___________________________________________ _________________________________ _____________________
___________________________________________ _________________________________ _____________________
___________________________________________ _________________________________ _____________________

Professional Licences _____________________________________________________________________________________

Involvement in Church Ministries:

Committee, Program Position/Responsibility Inclusive Dates
___________________________________________ _________________________________ _____________________
___________________________________________ _________________________________ _____________________
___________________________________________ _________________________________ _____________________
___________________________________________ _________________________________ _____________________
Other related involvements (optional)
Organization/Other Ministries Position/Responsibility Inclusive Dates
___________________________________________ _________________________________ _____________________
___________________________________________ _________________________________ _____________________
Interest/Skills: Singing Playing musical instruments (specify) __________________
Organizing Facilitating group activities Teaching Sunday school/bible study
Preaching Others (please specify) _________________________

______________________________________ ______________________________________
Signature Date

Blood Type Right thumb mark

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Accepted as _______________________________ Member on ___________________ through ________________________

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______________________________________ ______________________________________
President, Local CYF Administrative Pastor