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CrossLife Membership Form
Pre-Interview Assessment
General Information
First Name
Last Name
Email
Phone Number
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Marital Status
Single
Married
Divorced
Widowed
Family Members
What brought you to CrossLife?
What kept you coming?
Was there anything we could have covered better in our CrossLife Basics class, or any questions you would like addressed in your follow-up that were not addressed in the class?
What excited you about CrossLife's vision?
Do you have any concerns about CrossLife's vision?
Are you actively engaged in a Lifegroup?
Yes
No
Why not?
Are you committed to financially investing in your church?
Yes
No
Need to discuss
If you attended a previous church, did you leave the church on good terms or as a member in good standing? Would the leaders/people of that church agree with your answer if we were to meet them?
Yes
No
Need to discuss
I did not previously attend a church
Spiritual Life
Write a short summary of how you came to believe in Christ alone for your salvation.
If a person told you that they wanted to become a Christian, how would you explain the Gospel to them?
Have you been baptized by immersion after putting your faith in Jesus alone?
Yes
No
Need to discuss
We hope you know that we value each individual's uniqueness. Are there any special skills, gifts, strengths, resources or personal interests that you would love to bring to CrossLife?
What is your present plan to grow spiritually?
Who will you ask to hold you accountable spiritually?
Leadership & Foundational Statements
Leadership: Will you follow the church's leadership and communicate directly to them who you have a concern or request?
Yes
No
Need to discuss
Mission: Are you committed to make disciples that are following Jesus, being changed by Jesus, and on mission with Jesus?
Yes
No
Need to discuss
Beliefs and unity: Are you in alignment with CrossLife's beliefs and membership commitment, and are you willing to be teachable on anything that you currently may not understand?
Yes
No
Need to discuss
List anything in our beliefs or membership commitments that you struggle with, or in which you are "in process".
Do you commit to be communicative and teachable on any belief with which you might disagree or be "in process"?
Yes
No
Need to discuss
Peacemaking: Are you willing to involve yourself in the peacemaking process should you or another become involved in sin or a conflict?
Yes
No
Need to discuss
Follow-Up Appointment with an Elder
Before your follow-up appointment with a church leader, we'd love to have a gauge as to your intentions upon completing the membership process.
I intend to become a CrossLife Member
I am thinking about becoming a CrossLife Member
I am doubtful about becoming a CrossLife Member
What times are you not available to meet with a church leader for your follow-up appointment?
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