Work Entry

Baptism Application

Tell us a little about yourself and your story. A member of the Baptism Team at your campus will follow up with next steps.

About the Person Being Baptized

Use the name and contact information for the person who wants to be baptized. If this is already filled in, please confirm it is current.

First Name

Last Name

Mobile Phone

Birthdate

/ /

Confirm your campus

Is the person being baptized under 18?

If you are in a Community Group, who are your leaders?

How long have you attended Northridge?

Have you watched the Salvation and Baptism video?

Based on Romans 6:23 and Romans 10:9, what does a person need to believe to be saved from sin and receive eternal life?

How and when did you personally place your faith in Jesus as your Savior and Leader?

Why do you want to be baptized?

Have you been baptized before? If yes, when?

Although everyone getting baptized is a sinner, our daily lives should reflect a desire to please and obey God. Is your daily lifestyle reflective of your desire to please and obey God?

None Yes No I would like to talk with someone

If you have someone in mind, who would you like to baptize you?

In 2-3 brief sentences, please tell us about your life before Christ.

In 2-3 brief sentences, how did you come to trust Christ as your Savior?

In 2-3 brief sentences, tell us about your life after you trusted Christ.

Will you need an ASL interpreter?

Submit