SCBC - Church Multiplication: Request for Affiliation


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Please complete the following form for your request to be affiliated with the South Carolina Baptist Convention. You will also need to send a check ($50.00 minimum) as your first contribution to the Cooperative Program to: Jessica Sullivan South Carolina Baptist Convention 190 Stoneridge Dr. Columbia, SC 29210 Please contact us if you have any questions or problems. Request for Affiliation * Required New Church Name * New Church Address * New Church Phone * New Church Email New Church Pastor Name and Title * New Church Pastor Home Complete Address * New Church Pastor Phone * New Church Pastor Email New Church Treasurer New Church Treasurer Address New Church Treasurer Phone New Church Treasurer Email Are you currently pursuing affiliation with a local association (Yes or No)? * If Yes, what association? In No, please explain why Ethnicity of the church * Anglo Hispanic African American Native America Asian Korean Lao Multi-ethnic Other Employment status of the pastor *

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