THE SAINT SAVA SERBIAN ORTHODOX CATHEDRAL OF CLEVELAND, OHIO

THE SERBIAN ORTHODOX DIOCESE OF EASTERN AMERICA

6306 Broadview Road Parma, Ohio 44134

Parish Home: (216) 749-0064 Parish Office: (216) 749-1099

MEMBERSHIP APPLICATION FORM

I, being a baptized Orthodox Christian, respectfully ask to be accepted as a registered Member of The Saint Sava Serbian Orthodox Cathedral of Cleveland, Ohio Church-School Congregation located at 6306 Broadview Road in Parma, Ohio which is an integral part of The Serbian Orthodox Diocese of Eastern America. I willing accept all responsibilities, obligations, and duties set forth in the Constitution Rules and Regulations of the Serbian Orthodox Church in the United States of America and Canada (Ratified May 1982 and any changes, additions, or supplements thereafter); and, Saint Sava Serbian Orthodox Cathedral of Cleveland, Ohio Bylaws (Diocese approved #279 date April 1, 1985 and any changes, additions, or supplements thereafter,) fulfilling all religious duties of an Orthodox Christian which the Orthodox Church professes therein.

I promise to always respect and defend the unity of The Serbian Orthodox Church and will always recognize the jurisdictional highest authorities of The Serbian Orthodox Diocese of Eastern America headed by the Diocesan Bishop. I also promise that I will at all times recognize His Holiness the Patriarch, the Holy Assembly of Bishops and Synod as the highest authorities of The Serbian Orthodox Church.

I affirm that I am not an anarchist, communist, nihilist, bigamist, or atheist; nor do I support them. I do not belong to any anti-church or anti-religious organization.

Upon acceptance as a member of the Church-School Congregation, it is understood that I will fulfill the above obligations and agree to receive the Oath for New Members as prescribed in the Constitution of The Serbian Orthodox Church.

PERSONAL DATA Date of application: Email:

Name: Telephone: (Last) (First) (Middle)

Address: City: State: Zip:

Birth Date: Place of Birth: / City State or Country Church Name and Location where baptized: / Church Name State or Country

Marital Status: Single Maiden Name: Married Spouse’s Name: Widowed Children’s Names: Age: Single Parent

Form 2014 THE SAINT SAVA SERBIAN ORTHODOX CATHEDRAL OF CLEVELAND, OHIO

THE SERBIAN ORTHODOX DIOCESE OF EASTERN AMERICA

6306 Broadview Road Parma, Ohio 44134

Parish Home: (216) 749-0064 Parish Office: (216) 749-1099

Occupation/Profession:

IT IS UNDERSTOOD AND AGREED THAT THIS APPLICATION CANNPT BE PROCESSED BY THE EXECUTIVE BOARD UNLESS THE FULL AMOUNT OF THE CURRENT CALENDAR YEAR ANNUAL DUES ARE ATTACHED IN THE AMOUNT OF $ .

Signature of Applicant:

WITNESSES

We, the undersigned Members of The Saint Sava Serbian Orthodox Cathedral of Cleveland, Ohio, Church-School Congregation located at 6306 Broadview Road in Parma, Ohio are personally acquainted with the Applicant and affirm that the above stated facts are correct to the best of our knowledge. We recommend that this Applicant be accepted as a member of the Church-School Congregation.

1. Address:

2. Address:

FOR OFFICE USE ONLY

1. Confirmation made by: Financial Secretary APPROVED DENIED Reason:

Financial Secretary Signature: Date:

2. Pastor’s Confirmation Regarding Spiritual Responsibility APPROVED DENIED Reason:

Pastor’s Signature: Date:

Form 2014 THE SAINT SAVA SERBIAN ORTHODOX CATHEDRAL OF CLEVELAND, OHIO

THE SERBIAN ORTHODOX DIOCESE OF EASTERN AMERICA

6306 Broadview Road Parma, Ohio 44134

Parish Home: (216) 749-0064 Parish Office: (216) 749-1099

3. Executive Board Decision This Application was read and APPROVED DENIED At the executive Board Meeting held on the date of:

Recording Secretary Signature: Date:

4. “NEW MEMBER OATH” administered by Pastor on the date of:

COMMENTS:

Form 2014