Faith Landmarks Ministerial Fellowship Membership Registration

Complete form below to apply for membership. Your application must be approved by the Ministerial Fellowship before you will be an active member.
PERSONAL INFORMATION
Application Type: *

New Application Renewal
Individual or Couple Application? *

Individual Application Couple Application
Full Name: *

First Name Last Name
Birth Date: *

Month Day Year
Spouse's Full Name:

First Name Last Name
Spouse's Birth Date:

Month Day Year
E-mail: *
Address: *

Street Address

Street Address Line 2

City State

Zip Code Country
Preferred Phone Number: *

Area Code Phone Number
Fax Number:

Area Code Phone Number
MINISTRY INFORMATION
Ministry Name:
Ministry Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Ministry E-mail:
example@example.com
Ministry Website:
Year Ministry was established:
Number of Members/Partners:
Licensed?

Yes No
Date Licensed:
Ordained?

Yes No
Date of Ordination:
Briefly describe the ministry's purpose.
HOME CHURCH INFORMATION
Church Name: *
Member Since:
Positions held at this church:
Held since:
Home Church Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Church Phone Number: *

Area Code Phone Number
Church Pastor's name (if not you):
EDUCATIONAL INFORMATION (OPTIONAL)
Highest Degree obtained?
Major studied?
Attended Bible School or Seminary?

Yes No
Name of Bible School or Seminary:
Number of years attended:
Degree obtained?

Yes No
ABOUT YOU
MINISTRY EXPERIENCE AND GIFTS: *
INTERESTS: *
FLMF Membership Agreement
I understand and fulfill the scriptural requirements of leadership in 1 Timothy 3:1-7.

I have read and agree with the Tenets of Faith of the Faith Landmarks Ministerial Fellowship.

I also understand that my minimum Annual Membership offering for new applications for Faith Landmarks Ministerial Fellowship is $100.00 (or $150.00 for a couple). The Annual Membership Renewal fee is $35 for individuals and $50 for couples.
Applicant's Electronic Signature *
Spouse's Electronic Signature
Date *

Month Day Year