Ministerial Affiliation Application

Application for Ministerial Affiliation

To apply for ministerial affiliation with the IMNC, please complete all questions.
Full Name*

PrefixFirstFull Middle NameLastSuffix
Please Attach Current Photo*

Browse Files
Photo will be submitted into your ministry records. Cancelof
Please check if you agree to the cost of affiliation*

Ministerial Affiliation ($240 year/$20 month)
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Cellular Number*

Area CodePhone Number
Home Number

Area CodePhone Number
Work Number

Area CodePhone Number
Website
Date of Birth*

MonthDayYear
Date
Place of Birth*
Gender*

MaleFemale
Marital Status*

MarriedSingleDivorcedWidowedOther
Spouse Name
If Applicable
Spouse Birth Date

MonthDayYear
Date
Ethnicity
Have you ever filed for bankruptcy?*

YesNo
If yes to above question, please provide a brief description.
Have you ever been convicted of a felony or misdemeanor? (Excluding moving violations)*

YesNo
If yes to the above question, please provide a brief description.
Ministry Service Location*
Area where you are currently ministering: City/State/Country.
Describe why you are serving in ministry? What is your calling in the ministry?*
Do you currently hold credentials with a church, denomination or other credentialing body?*

YesNo
Have you, in the past, held/hold credentials with a church, denomination or other credentialing body?*

YesNo
If yes to question above, please enter:
The name of the credentialing or ministerial body.
Start Date of Past Credentials:

MonthDayYear
Date
End Date of Past Credentials:

MonthDayYear
Date
Have you been baptized in water according to Matthew 28:19?*
Have you been baptized in the Holy Spirit?*
What is your belief and practice in tithing?*
In which church (or ministry) are you currently active?*
Name of church with location
Type of ministry currently engaged:*

Lead PastorStaff PastorMissionaryTeacher/ProfessorOther
Why do you desire to obtain Ministerial Affiliation with the IMNC?*
What Bible or Formal Ministry Training Have You Completed?*

Formal Bible CollegeCorrespondence CoursesMinistry School/Training ProgramNoneOther
Please Type Name of Formal Training Program and Location:
If Applicable
Completion Date of Formal Training Program:

MonthDayYear
Date
Attach a Resume:*

Browse Files

Cancelof
Attach Two Pastoral Reference Letters (#1)*

Browse Files
Pastoral Reference #1 Cancelof
Attach Pastoral Reference (#2) *

Browse Files
Pastoral Reference #2 Cancelof
Attach a Friend Reference Letter*

Browse Files
Friends Reference #1 Cancelof
Attach a Employer/Past Employer Reference*

Browse Files
Employer Reference #1 Cancelof
Application Payment
prevnext( X )
Application Fee$50.00

Total $0.00

Pay with Credit Card

Should be Empty:

Application for Ministerial Affiliation