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

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Please check if you agree to the cost of affiliation
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
Marital Status

Other
Spouse Name
If Applicable
Spouse Birth Date

MonthDayYear
Date
Ethnicity
Have you ever filed for bankruptcy?
If yes to above question, please provide a brief description.
Have you ever been convicted of a felony or misdemeanor? (Excluding moving violations)
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?
Have you, in the past, held/hold credentials with a church, denomination or other credentialing body?
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:

Other
Why do you desire to obtain Ministerial Affiliation with the IMNC?
What Bible or Formal Ministry Training Have You Completed?

Other
Please Type Name of Formal Training Program and Location:
If Applicable
Completion Date of Formal Training Program:

MonthDayYear
Date
Attach a Resume:

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Attach Two Pastoral Reference Letters (#1)

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Pastoral Reference #1 Cancelof
Attach Pastoral Reference (#2)

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Pastoral Reference #2 Cancelof
Attach a Friend Reference Letter

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Friends Reference #1 Cancelof
Attach a Employer/Past Employer Reference

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Employer Reference #1 Cancelof
Application Payment
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Application Fee$50.00

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Application for Ministerial Affiliation

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