IKA Partnership Form

IMPACT KINGDOM ALLIANCE

Partner’s Form
Church or Ministry Name?
Name

First NameLast Name
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
Best time to be reached
Email
example@example.com
Facebook or IG Name
Are you interested in:

Other
What Seven Mountain Are You Called To?
Are You licensed, Affirmed, or Ordained? (Please specify in what office)
How long has your church or ministry been in existence?
Marital Status
Spouse Name

First NameLast Name
Is your spouse licensed, Affirmed, or ordained? (Please specify in what office)
Is your spouse interested in aligning with IKA?

Other
Additional Information
Are you familiar with the Apostolic Reformation?
What is your interest in IKA ?
Do you currently serve or oversee an Apostolic Organization?
If yes, please provide organization name or website:
What capacity do you currently serve within the organization?
Please provide two ministry references?
IKA DIVISIONS

Please complete the survey to help us better understand where you fit best into Impact Kingdom Alliance.
IKA Main Divisions
What areas do you have expertise in?
Would you like to request a meeting or further details?
Additional Comments
Should be Empty:

IKA DIVISIONS