Revelation Message, Inc. Ordination Renewal Form

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Would you like to renew your Revelation Message, Inc. Ordination Credential?* This field is required.If you are no longer in need of this Ordination Credential, please select "NO." You will still need to answer a few basic questions before we can release your Credential.

YESNO

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Would you like to fill out this form online or download and print the PDF file?* This field is required.Click "Online" to go paperless and fill out the form online. Click "PDF" to load the PDF form to print/download.

OnlinePrint

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Ordination Renewal Form PDF FilePlease use the download/print button to download the PDF file shown below. Firefox users: click the popout arrow to download/print. Clicking on Review and Submit will close this window.

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Full Legal Name* This field is required.

Prefix

First Name

Last Name

Suffix

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Email* This field is required.

example@example.com

Confirm Email

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Home Phone Number* This field is required.

Area Code

Phone Number

7

Secondary (mobile) Phone Number

Area Code

Phone Number

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You have chosen to release your Ordination from Revelation Message, Inc. Please provide us a brief explanation.* This field is required.

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Mailing Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

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Name of Church / Ministry* This field is required.Please provide the name of your current church and/or ministry.

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Current Ministry Position* This field is required.Please list your current title/position in ministry.

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Name of Employer* This field is required.Please provide the name of your current employer. (Organization/Company Name)

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Current Occupation* This field is required.Please list your current title/position for your profession.

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How many people have you been blessed to lead to the Lord this past year?* This field is required.

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How many people water Baptized?* This field is required.

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Have you experienced any changes in your ministry in the last year?* This field is required.

YESNO

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You selected YES, please describe the changes to your ministry.* This field is required.

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Have you had any Doctrinal changes this past year?* This field is required.

YESNO

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You selected YES, please describe the changes to your Doctrinal Beliefs.* This field is required.

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Have you had any legal, moral, or ethical complaints or instances this past year?* This field is required.

YESNO

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You selected YES, please list and provide a full statement for each occurance of an ethical complaint/issue.* This field is required.

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What Continuing Education were you a part of this past year? Please include a brief list of books read and/or Ministry or Degree programs.* This field is required.

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Please take a moment to read/review the Doctrines of Revelation Message, Inc.You can use the download/print button to download the PDF file shown below. Firefox users: click the popout arrow to download/print.

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I have read the included Doctrines of Revelation Message Inc. and I am still living by and following them.* This field is required.

YESNO

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You selected NO, please explain...

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Note: Revelation Message, Inc. has full authority and right to suspend or terminate this credential at any time should there be reasonable doubt that any of the above-mentioned items are in question.

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Would you like to receive information regarding programs available to pursue your next degree?* This field is required.We offer programs starting at Certifications, up to the Ph.D. level as well as NCCA licensure programs for students wishing to become Licensed Clinical Christian Counselors.

YESNO

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Would you like to receive more information regarding the International Fellowship of Graduates (Alumni); joining and/or renewing your Alumni membership?* This field is required.

YESNO

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Please become a monthly partner with Revelation Message, Inc.* This field is required.We will email you information regarding joining with us monthly to help us in equipping the Saints!

Yes, I know my covering is good ground. Send me more information on monthly contributions.

No, not interested.

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After signing and clicking submit you will be taken to a PayPal checkout page, however, a PayPal account is NOT REQUIRED to complete this payment. Please select "Pay with Debit or Credit Card" on the checkout page to complete the payment without using a PayPal account.

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Signature* This field is required.By signing electronically, you are stating that all of the information contained herewith this form is true and accurate to the best of your ability.

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