One Church United DMV Membership Information Form

Title

Name

First NameLast Name

Date of Birth

Date

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Marital Status

Spouse Name

First NameLast Name

Spouse Date of Birth

Date

Spouse Email

example@example.com

Are you full-time or part-time (bi-vocational) in ministry?

Please provide a headshot of the Pastor or Ministry Leader, preferably in clergy attire, or at minimum, professional attire suitable for formal representation.

Church Name

Please upload church / ministry logo (if you have one available)

Church Anniversary Date (example: 2nd Sunday in October)

Church Address, if virtual, please provide a mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Church Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Church Website Address

Church Email Address

Admin / Exec Assistant Name

First NameLast Name

Admin/Exec Assistant Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Average Sunday Morning Attendance

Do you have a Social Media Ministry? If yes, please share Social Media lead contact information

Social Media Lead Contact Information

First NameLast Name

Social Media Lead Mobile Phone

Please enter a valid phone number.Format: (000) 000-0000.

Briefly describe the mission and vision of your church/ministry

Does your ministry have a special focus (Youth, Missions, Outreach. etc.)? If so, what is it?

Are you affiliated with any other fellowship, denomination, or reformation? If yes, please provide the name?

Have you ever had disciplinary action of any kind taken against you by any of the organizations in which you have held credentials?

Have you ever been accused of, participated in, or been convicted of sexual misconduct?

I hereby pledge to join the One Church United Fellowship of Churches and Ministries and voluntarily submit to its set rules and structure. I understand that by doing so, I do not surrender any of the autonomy of the local church. I further pledge to offer my gifts and talents to advance the mission and vision of this fellowship.

This application will be held in confidence. Only those persons with a need to know will review it. I grant the One Church United Fellowship of Churches and Ministries and its leadership permission to verify the information provided on this application and all membership requirements.

I hereby state that all information contained in this application and all correspondence with the One Church United Fellowship of Churches and Ministries are correct and true. If the One Church United Fellowship of Churches and Ministries is notified that any of the information contained in this application is false, it will be grounds for immediate cancellation of the application process and/or revocation of membership.

Signature

One Church United DMV

Pastor's Information:

Church / Ministry Information