The Pastors' Circle 2025 Membership Interest Form
Membership is currently closed. Open Enrollment begins August 1st - September 30th, 2025. Please complete this application in its entirety. Questions? Email: info@ourpastorscircle.com
Personal Information
Full Name
*
Mr.
Mrs.
Ms.
Miss
Reverend
Elder
Pastor
Dr.
Apostle
Prophet
Prophetess
Bishop
Minister
Coach
Teacher
Prefix
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
*
E-mail
*
example@example.com
Gender
*
Please Select
Male
Female
Birthday
*
-
Month
-
Day
Year
Date
Are You Married?
*
Please Select
Yes
No
Anniversary Date
*
-
Month
-
Day
Year
Date
Spouse's Full Name
*
Mr.
Mrs.
Ms.
Miss
Reverend
Elder
Pastor
Dr.
Apostle
Prophet
Prophetess
Bishop
Minister
Coach
Teacher
Prefix
First Name
Last Name
Does your spouse serve or work alongside you in pastoral duties?
*
Please Select
Yes
No
Do You Have Children?
*
Please Select
None
Yes
Yes & Grandchildren
What is Your Leadership Role?
*
Please Select
Senior Pastor
Parachurch Senior Ministry Leader
Emerging Pastor
How Long Have You Been A Senior Pastor or Parachurch Senior Ministry Leader?
*
Please Select
Less Than 1 Year
Less Than 5 Years
Less Than 10 Years
Less Than 20 Years
More Than 20 Years
Are you Full Time Ministry or Bi-Vocational?
*
Please Select
Full-Time Ministry
Bi-Vocational
What is Your Marketplace Profession?
Ministry Information
Name of Ministry
*
Ministry Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What's The Age of Your Ministry?
*
Please Select
Less Than 1 Year
1-5 Years
6-10 Years
11-15 Years
16-25 Years
26-45 Years
46-65 Years
66-85 Years
86-99 Years
100 Years+
Less Than 10 Years
Less Than 20 Years
Less Than 30 Years
Less Than 40 Years
Less Than 50 Years
What's the Size of Your Ministry?
*
Please Select
Under 100
Under 500
Under 1000
Over 1000+
Ministry's Website (N/A if not applicable)
*
Ministry's Facebook Page (N/A if not applicable)
*
Ministry's Instagram Page (N/A if not applicable)
*
Do you have an Executive Assistant/ Secretary?
*
Please Select
Yes
No
SUBMIT
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