Canvas - Directory Update
Please update your information by filling out this form.
Basic Information
Full Name
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Martial Status
*
Please select one option.
Single
Engaged
Married
Widowed
Divorced
Separated
Select Option
Single
Engaged
Married
Widowed
Divorced
Separated
Birthdate
*
Name(s) of your family members.
Contact Information
Phone Number
*
E-mail Address
*
Current Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Church Information
Please include all the information to the best of your ability and memory.
Estimated date of your first day at GCC?
*
Baptism by Full Immersion
*
Please select one option.
Yes
No
No, I was baptized in a different way
Did you graduate Come & See (Membership Class)
*
Please select one option.
Yes
No
I graduated in a different class before 2014
Have you taken Living Life Bible Study?
*
Please select one option.
Yes
No
Are you currently part of a House Church?
*
Please select one option.
Yes
No
If yes, what is the name of your House Church?
Directory Photo
Please upload a photo of yourself for our directory.
Photo of yourself only for the Directory
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Description
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