Application for Affiliate Membership
Application fee is $100
PERSONAL INFORMATION
OFFICIAL TITLE OF APPLICANT: (SELECT ONE)
*
BISHOP
APOSTLE
OVERSEER
PASTOR
ELDER
MINISTER
DEACON
OTHER
FIRST NAME
*
MIDDLE NAME
*
LAST NAME
*
MAILING ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DATE OF BIRTH
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
HOME PHONE
*
Please enter a valid phone number.
Format: (000) 000-0000.
MOBILE/CELL NUMBER
*
Please enter a valid phone number.
Format: (000) 000-0000.
EMAIL
*
example@example.com
ARE YOU? (SELECT ONE)
SINGLE
ENGAGED
MARRIED
SEPARATED
DIVORCED
WIDOWED
SPOUSE'S NAME
First Name
Last Name
IN CASE OF AN EMERGENCY, WHO SHALL WE CONTACT?
NAME
*
First Name
Last Name
PHONE NUMBER
*
Please enter a valid phone number.
Format: (000) 000-0000.
RELATIONSHIP TO YOU
*
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ACADEMIC INFORMATION
NAME OF HIGH SCHOOL
CITY
STATE
HIGHEST GRADE COMPLETED OR DIPLOMA RECEIVED
NAME OF COLLEGE
CITY
STATE
DEGREE
YEARS COMPLETED
NAME OF GRADUATE/SEMINARY SCHOOL
CITY
STATE
DEGREE
YEARS COMPLETED
NAME OF POST GRADUATE/SEMINARY SCHOOL
CITY
STATE
DEGREE
YEARS COMPLETED
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MINISTERIAL INFORMATION
WHEN DID YOU ACCEPT THE CALL TO PREACH?
PLEASE PROVIDE THE YEAR
IN WHAT CHURCH WERE YOU SERVING?
CITY
STATE
WHO WAS THE PASTOR THAT LICENSED YOU?
IN WHAT YEAR WERE YOU LICENSED?
IN WHAT YEAR WERE YOU ORDAINED TO THE GOSPEL MINISTRY?
WHO ORDAINED YOU?
IN WHAT CHURCH/FELLOWSHIP/REFORMATION WERE YOU ORDAINED?
ARE YOU A CONSECRATED BISHOP?
YES
NO
IF SO, WHAT YEAR WERE YOU CONSECRATED?
IF SO, IN WHAT CHURCH WERE YOU CONSECRATED?
WHAT ARE THEIR NATIONAL HEADQUARTER'S ADDRESS?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PLEASE NAME YOUR CHIEF CONSECRATOR
PLEASE NAME AT LEAST TWO OTHER CO-CONSECRATORS
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EPISCOPAL INFORMATION
WHAT IS THE NAME OF YOUR PRESENT ORGANIZATION?
WHAT POSITION(S) DO YOU NOW HOLD?
ARE YOU PRESENTLY PASTORING?
YES
NO
WHAT IS THE NAME OF THE CHURCH?
ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PHONE NUMBER
Please enter a valid phone number.
Format: (000) 000-0000.
FAX NUMBER
Please enter a valid phone number.
Format: (000) 000-0000.
PRIVATE LINE
Please enter a valid phone number.
Format: (000) 000-0000.
EMAIL
example@example.com
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CIVIC AND SOCIAL AFFILIATION INFORMATION
PLEASE PROVIDE ALL CIVIC AND SOCIAL AFFILIATIONS YOU ARE INVOLVED IN.
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PLEASE UPLOAD ALL OF YOUR ORDINATION/EPISCOPAL CREDENTIALS.
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PLEASE UPLOAD TWO LETTERS OF RECOMMENDATION.
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STATEMENT OF AGREEMENT
By submitting this application, you are formally requesting affiliation with the Anthony Brian Johnson Institute (ABJI) as an Affiliate Member and hereby consent to a background check, the cost of which is included in your application fee. This application does not, in any way, obligate your local church, ministry network, or affiliated organization to ABJI. It pertains solely to you as the individual applicant. As an Affiliate Member, you are recognized as an autonomous entity, operating independently within your own ministry or organizational context. You are free to withdraw at any time; however, we kindly ask that any withdrawal be submitted in writing to the Office of the Presiding Apostle should the need arise. Further entering into this covenantal affiliation, you are acknowledging ABJI as a divinely mandated apostolic institution, called to nurture, empower, and propel networks, reformations, ecclesiastical headships, and marketplace ministries into full maturity. As an apostolic covering and governing body, we are committed to your equipping, commissioning, and safeguarding as you pursue your God-given assignment. Your submission to this apostolic movement grants you the privileges and responsibilities of apostolic accountability, prophetic impartation, and Kingdom alignment through strategic fellowship and governance. If this reflects your understanding and agreement, please seal this application with your signature and the date. Grace, authority, and apostolic peace be multiplied to you, your household, and your assignment.
SIGNATURE OF APPLICANT
*
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
My Products
*
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ABJ INSTITUTE FOR APOSTOLIC & ECUMENICAL AFFAIRS MEMBERSHIP AFFILIATE APPLICATION FEE
$100.00 USD
$100.00
$
100.00
Quantity
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Thank you for submitting your Affiliate Membership application to ABJI. We are grateful for your interest and for the care you have taken in completing this process. Your application, including background requirements and payment, is now being thoughtfully reviewed and verified, and a representative will be in contact within 7–10 business days to provide an update. Below you will find a checklist of required items that must be completed before official acceptance. For your records and continued ease of access, we kindly encourage you to print or save a copy of this confirmation. We appreciate your patience during this review period and look forward to the opportunity to welcome you into the ABJI community.
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