Judah Network
Pastors and Affiliates Membership Application
SECTION 1: PERSONAL INFORMATION
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Marital Status:
Single
Married
Widowed
Spouse’s Name (if applicable):
Children (Names & Ages):
Contact Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Media
SECTION 2: CHURCH INFORMATION
Name of Church:
Church Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Denomination (if applicable):
Position/Role:
Years in Ministry:
Church Website or Social Media:
Average Weekly Attendance:
Church Affiliation History (past affiliations, if any):
SECTION 3: MINISTERIAL BACKGROUND
Brief Testimony of Salvation and Call to Ministry:
Educational Background (seminary, Bible college, etc.):
Ordination Details (when, where, by whom):
Ministerial Strengths/Giftings:
Doctrinal Beliefs (brief overview or attach statement of faith):
Doctrinal Beliefs (brief overview or attach statement of faith):
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SECTION 4: NETWORK INTEREST
Why do you want to join Judah Network?
What do you hope to receive from and contribute to this Network?
Are you currently accountable to any ministerial covering or network, alliances, or reformations?
Yes
No
Have you ever been disciplined, removed, or resigned from ministry? (If yes, please explain.)
Yes
No
Have you ever been disciplined, removed, or resigned from ministry? (If yes, please explain.)
SECTION 5: KINGDOM PARTNERSHIP & ACCOUNTABILITY
Are you willing to practice and teach biblical tithing?
Yes
Too
Yes [ ] No [ ] With explanation (please elaborate)
Are you willing to tithe from your ministry into this Judah Network as part of mutual covenant and support?
Yes
No
Yes [ ] No [ ] Maybe (please explain)
Are you open to spiritual oversight and accountability by senior leaders within this fellowship?
Yes
No
Yes [ ] No [ ] Explain further
Are you willing to support and collaborate with affiliate pastors and ministries within the network?
Yes
No
Yes [ ] No [ ] Explain further
How would you like to contribute to the growth and strength of this network? (e.g., mentoring, teaching, giving, missions, etc.)
SECTION 6: REFERENCES
Provide at least 2 pastoral/ministry references Please include Name, Church/Organization, Phone, Email:
SECTION 7: AGREEMENT
Do you agree to uphold the values, vision, and doctrinal positions of the fellowship?
Yes
No
Signature
Date
-
Month
-
Day
Year
Date
Submit
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