Ephesians 2:19

Membership Application Form

Welcome home. Complete the application below to begin your journey as a covenant member of Covenant Word Christian Centre International.

Personal Information

Title *Gender *First Name *Last Name *Date of Birth *Marital Status *Occupation Nationality *

Contact Information

Email Address *Phone (with country code) *Residential Address *City *State / Province *Country *Postal Code

Spiritual Information

Are you born again? *Have you been baptized in water? *Baptism in the Holy Spirit? *Preferred Campus *Previous Church (if any) Why do you want to join Covenant Word?

Emergency Contact

Full Name *Relationship *Phone *Email

I confirm the information above is true and I consent to Covenant Word Christian Centre International processing it for membership purposes only.

An onboarding officer will contact you to complete your foundation class and induction.