The Pastors' Circle 2025-2026 New Membership Application
Complete this application in its entirety, and then you will be directed to make your payment and create your username and password for your membership portal. 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
Executive Assistant's Information
Executive Assistant's Name
First Name
Last Name
Executive Assistant's Phone Number
Please enter a valid phone number.
Executive Assistant's Email
example@example.com
Additional Information
How did you hear about us?
*
Please Select
Returning Member
One Conference
JFH Event
Website
Referral
Referal Name
*
T-Shirt Size
*
Please Select
Small
Medium
Large
X-Large
2XL
3XL
4XL
Please Upload A Headshot of Yourself
Picture Upload
*
Browse Files
Drag and drop files here
Choose a file
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How Can The Pastors' Circle Help You?
What Are Your Specific Needs from The Pastors' Circle?
*
What Are your Expectations from The Pastors' Circle?
*
What Are Your Areas of Strengths/Expertise?
*
What Are Some Suggestions Your Have for The Pastors' Circle?
*
Join NOW!
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