At Progressive Community Church you will discover a warm group of real people dedicated to following our Lord and Savior, Jesus Christ.
I'm New
Here at Progressive Community Church we offer everyone the opportunity to grow in their knowledge of God's Word through various classes such as Bible Study and our C.E.T. program.
We believe that what we do within each ministry should flow purposefully out of what we value and love.
Learn More
God's Word is filled with promises from our Creator to provide and deliver. The Bible is the ultimate source for truth and God is faithful to fulfill all His promises.
Bible Promises
Name*
Date of Birth* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901
Male
Female
, AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Primary Phone*( ) -
Work Phone( ) -
Email
Marital Status Married Unmarried
Spouse's Name
Number of Children
Ages
Place of Employment*
Occupation
T-shirt size* Small Medium Large X Large XX Large XXX Large XXXX Large
Emergency Contact*
Emergency Contact Phone*( ) -
Relationship to Applicant*
Children's Ministry (Ages 1-5 & Grades K-6)
Youth (Grades 7-12)
Rooted (Young Adults ages 18-35)
Parent/Guardian Information
If you are in 12th grade or younger, please fill out your parent/guardian information.
Parent/Guardian Name
Parent's/Guardian's Mobile Phone( ) -
Parent's/Guardian's Email
Questions
1. Do you have a personal relationship with Jesus Christ?* Yes No Uncertain
Briefly describe when & how you became a Christian.
2. How long have you attended Progressive CC?*
3. How often do you attened worship service?*
4. Name of your previous church (if applicable).
Phone number of previous church (if applicable).( ) -
5. References
(List 3 people who have known you 5 years or longer, must be 18 years old and a non-relative)
Name of Reference *
Phone number of reference.*( ) -
Email of Reference
Name of Reference*
Phone of Reference*( ) -
6. When did you complete the PCC New Members Program? January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901
If not complete, where are you in the process?
7. What are your spiritual gifts?
8. In what church ministries do you participate on a regular basis?
Briefly describe your experience with children, youth or young adults (paid or volunteer).
Background Info
The questions listed below are a part of the interview process in order to help provide a safe and secure environment. The Pastor and Student Ministry staff of Progressive Community Church holds all information strictly confidential. Answering "yes" to any of the questions may not necessarily preclude your involvement in the Student Ministry.
Yes
No
If you answered "yes" to any of the questions above, please explain:
