MANAGEMENT INFORMATION SYSTEM FORM
Husband (or Single Male)
Married
Single
Divored
Seperated
Widowed
Name:
Address:
City:
State:
Zip:
Home Phone:
E-mail:
Employer:
Work Phone:
Is it acceptable to call you at work?
Yes
No
Date Of Birth:
You attend church
Regularly
Occasionally
Seldom
What year did you start attending our church?
Wife (or Single Female)
Married
Single
Divorced
Seperated
Widowed
Name:
Address:
City:
State:
Zip:
Home Phone:
E-mail:
Employer:
Work Phone:
Is it acceptable to call you at work?
Yes
No
Date Of Birth:
You attend church:
Regularly
Occasionally
Seldom
What year did you start attending our church?
Husband and Wife
Date you were married:
Children Living at Home
Name:
Age:
Date of Birth:
1:
2:
3:
4:
5: