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 SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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?*This can be found here.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 London Baptist Confession of Faith?*Please manually type in your answer.What exceptions, if any, does the church take with the RBN constitution or policy manual?*Links to the constitution and the policy manual.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?NameThis field is for validation purposes and should be left unchanged.