🔥
Jesus Zealots
Evangelical Music Outreach Team
✝
Membership Registration Form
✝ Personal Details
Title
Select…
Mr.
Mrs.
Miss
Ms.
Dr.
Rev.
Pastor
First Name
*
Middle Name
Surname
*
Date of Birth
*
Gender
*
Select…
Male
Female
Prefer not to say
Nationality
Marital Status
Select…
Single
Married
Widowed
Divorced
✝ Contact Information
Phone Number
*
WhatsApp Number
Email Address
*
Residential Address
*
City
*
State / Province
Country
*
✝ Church & Faith Background
Home Church / Denomination
*
Years as a Christian
Select…
Less than 1 year
1 – 3 years
3 – 5 years
5 – 10 years
10 – 20 years
20+ years
Are you Water-Baptized?
Yes
No
Not Yet
✝ Music Ministry Details
Primary Role / Calling
*
Select your role…
Lead Vocalist
Backing Vocalist
Choir Member
Keyboardist / Pianist
Guitarist (Lead)
Guitarist (Bass)
Drummer / Percussionist
Brass / Wind Instrumentalist
Violinist / String Player
Sound Engineer
Music Director / Arranger
Song Writer
Media / Visual Arts
Outreach Coordinator
Prayer Team
Years of Music Experience
Select…
Beginner (0–1 yr)
1 – 3 years
3 – 5 years
5 – 10 years
10+ years
Additional Skills / Instruments
Songwriting / Composing
Music Theory / Notation
Choreography / Movement
Audio Recording / Production
Video / Photography
Preaching / Evangelism
Availability for Outreach
Weekdays
Weekends
Public Holidays
Willing to Travel
✝ Emergency Contact
Full Name
*
Relationship
Emergency Phone
*
✝ Additional Information
How did you hear about Jesus Zealots?
Select…
Church Announcement
Social Media (Facebook / Instagram)
WhatsApp / Telegram
Friend / Family
Event / Crusade
Other
Brief Testimony / Motivation to Join
"I hereby declare that the information provided above is true and accurate. I commit to serving the Lord through music and outreach with dedication, humility, and a heart of worship, upholding the values and mission of Jesus Zealots."
Signature (Full Name)
*
Date
*
✝ Submit Application
🔥
"Welcome to the family! Your application has been received.
Go ye into all the world and preach the gospel.
"
Mark 16:15 — The Jesus Zealots Team