Mount Olive Baptist Church 2015 Membership Profile Update
RequiredRequired Question(s)
MOBC Family Member,

Mount Olive is in the process of updating its membership database and appreciate you taking the time to complete this online form for that purpose.  

                                             Important Privacy Notice and
                                                    Attestation Statement
 
Each member is asked to complete this membership profile which is essential information needed to update your membership profile that is contained in our PowerChurch database. In addition, consistent with our Church's Vision Statement and Strategic Plan, we plan to use this information to foster effective and efficient communication among our membership. Specifically, church officials (including ministry leaders) will sometimes use this information to occasionally outreach to you and to notify you of selected church activities, cancellations of events, road/street closures, and other relevant information.
 
The Mount Olive Baptist Church, Arlington, VA is the sole proprietor of the information collected on this profile.
 
Required 1.

If you agree to the above terms and conditions for use of the information provided, please type your name below.

 

50 characters left.
2.
Exception.  Please initial below if you do not want your information shared with anyone without your expressed consent.
 

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Required 3.

Last Name, First Name, Middle Name: 

 

50 characters left.
4.

Title:

Miss
Mr.
Mrs.
Rev.
Min.
Dr.
Esq.
Deacon
Deaconess
Other  
Required 5.
Birthdate (MM/DD/YYYY):
 

50 characters left.
Required 6.

Gender:

Female
Male
Required 7.

Adult 21 Years or Older:

Yes
No
Required 8.
Marital Status:
Single
Married/Spouse Member of Mount Olive (Provide Full Name In the Box Below)
Married/Spouse Not a Member of Mount Olive
Widowed
Divorced
  • Comment:

  • 500 characters left.
9.

Date Married (MM/DD/YYYY):

 

50 characters left.
10.

List Complete Names of all Children and Youth Under 21 in Household that Attend Mount Olive:

 

350 characters left.
11.

Envelope Number (if known):

 

50 characters left.
Required 12.

Street Address Including Apt., Unit, Suite Numbers:

 

50 characters left.
Required 13.
City, State, Zipcode:
 

50 characters left.
14.

Mailing Address if Different Than Above:

 

350 characters left.
15.

Previous Address if Less Than 3 Years:

 

350 characters left.
Required 16.

Home Phone Number including Area Code (123) 345-6789:

 

50 characters left.
17.
Mobile Phone Number including Area Code (123) 345-6789:
 

50 characters left.
18.
Work Phone Number including Area Code (123) 345-6789:
 

50 characters left.
19.
Primary Email Address (Can enter more than one):
 

350 characters left.
Required 20.

Two Emergency Contacts Including Name, Address, and Phone Number including Area Code (123) 345-6789:

 

1000 characters left.
21.

Primary Physician Contact Name and Phone Number including Area Code (123) 345-6789:

 

350 characters left.
22.

List Any Medical Conditions including Allergic Reactions That We Should Be Aware Of:

 

350 characters left.
23.

Special Needs (i.e., accommodations for disabilities and mobility):

 

350 characters left.
24.

If Under 18, Provide Parent(s) Full Name(s):

 

50 characters left.
25.

Date Joined (MM/DD/YYYY) - If unsure, please state Unknown:

 

50 characters left.
Required 26.
Manner Joined:
Baptism
Christian Experience
Letter
Watchcare (List Name and Address of Church of Membership in Box Below)
  • Comment:

  • 500 characters left.
27.

Date Baptized (MM/DD/YYYY) - If unsure, please state Unknown:

 

50 characters left.
28.

Date of Right Hand of Fellowship (MM/DD/YYYY) - If unsure, please state Unknown:

 

50 characters left.
29.
Occupation and Special Skills/Talents/Spiritual Gifts:
 

350 characters left.
30.
Part 1 of 2-List all Current Ministry Affiliations:
Elderlites
Fitness/Wellness
Media
Grief Share
Men's Ministry
Sisters of the True Vine
A.C.T.S. Ministry
Couples Ministry
Young Adult
Youth Ministry
Sunday School
Education Committee
Vacation Bible School
Library
New Members
First Friends
Missionary
Pastoral Relations Committee
Transportation
Intercessory Prayer
31.
Part 2 of 2-List all Current Ministry Affiliations (continued):
Boy Scouts
Cub Scouts
Girl Scouts
Created for Worship Choir
Little Levites Choir
Men of Valor Chorus
Praise Team
Women's Choir
Grace in Motion Dance
Ladies' Auxiliary Usher Board
Senior Men's Usher Board
Young Adult Ushers
Angels of Light Ushers
Kitchen Committee
Sign Language
Nurses Unit
Church Board
Trustees
Finance Ministry
Other  
32.

Community Activities:

 

350 characters left.
33.

Please select all that apply:

I would like information for giving online.
I would like contribution envelopes.
I would like to be included on email notices.
I would like to be included on text notices. Charges may apply depending on your plan.
34.

Please Provide Any Other Information That Should Be Included In Your Profile:

 

350 characters left.