Associate Church Membership Please scroll through this entire form and make sure you have all of the information requested before you start the application. Church Name*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Website* Sponsoring Full Member Church*Pastor/Elder & Deacon InformationFor simplicity, we'll use the term elder throughout the rest of the form, understanding that pastor & elder are interchangeable.How many elders does your church currently have?*OneTwoThreeFourFiveSixSevenEightNine or MoreHow many deacons does your church currently have?*ZeroOneTwoThreeFourFiveSixSevenEightNine or MoreFile upload*Please upload a list of your elders & deacons. Please include contact information (email) as well as any specific role the person has in the church. PDF files are preferred.Accepted file types: doc, docx, pdf, odt, rtf, txt.Church InformationWhen was the church constituted (if applicable)?*Is the church registered with a local or federal government?*YesNoDoes the church have official membership in any other denomination, association, or network?*YesNoTo which denomination, association, or network does the church officially have membership in?Do you affirm the Associate Membership Statement of Faith?*YesNoWhat exceptions, if any, does the church take to the Associate Membership Statement of Faith?*Do you agree not to proselytize or become contentious about differences about the 1689?*Please manually type in your answer.What exceptions, if any, does the church take with the RBN constitution or policy manual?*Links to both can be found on the "Resources" page.Why does your church want to join the Reformed Baptist Network?*Does the congregation offer adequate approval to join the association?*YesNoPlease identify the RBN full member church that will be recommending your church*Attachments to IncludePlease upload your Church constitution/bylaws (if applicable)Please upload your Registration documents (if applicable)Please upload letter from full member sponsoring church*Form Completion InformationName of person filling out this form* First Last Your Role in the Church*Phone*Email* Any other questions, or comments?EmailThis field is for validation purposes and should be left unchanged.