This application may be printed out for regular mailing or copied into an e-mail.

MEMBERSHIP APPLICATION

APPLICATION FOR MEMBERSHIP

NAME (Full):

ADDRESS:

TELEPHONE NUMBER:

SOCIAL SECURITY NUMBER OR NATIONAL IDENTIFICATION NUMBER:

DATE AND PLACE OF BIRTH:

DATE AND PLACE OF BAPTISM, INCLUDING CHURCH NAME AND AFFILIATION:

DATE AND PLACE OF CONFIRMATION INCLUDING CHURCH NAME AND AFFILIATION:

MARRIED? NUMBER PREVIOUS MARRIAGES:

DATE AND LOCATION OF MARRIAGE:

WIFE’S FULL NAME:

ADDRESS IF DIFFERENT THAN YOURS:

CURRENT RELIGIOUS AFFILIATION:

DATE AND PLACE OF BIRTH:

CHILDREN’S NAMES AND DATE OF BIRTH;

HAVE YOU EVER BEEN ARRESTED?

WHY AND DISPOSITION OF CASE;

ARE YOU NOW OR HAVE YOU EVER BEEN A PRACTICNG HOMOSEXUAL?

ARE YOU NOW OR HAVE YOU EVER BEEN AN ALCOHOLIC?

ARE YOU NOW OR HAVE YOU EVER BEEN DEPENDENT ON DRUGS?

CURRENT OCCUPATION, LOCATION, SINCE WHEN?

EDUCATION (YEAR, SCHOOL, ADDRESS, DEGREE OBTAINED): include any paper work pertaining to your former position &/or ordinations.

DOES YOUR SPOUSE SUPPORT YOUR VOCATION?

DO OR WILL YOUR CHILDREN SUPPORT YOUR VOCATION?

WHY DO YOU WANT TO BE ORDAINED?

ARE YOU NOW INVOLVED IN ANY TYPE OF MINISTRY, WHAT?

WHY DO YOU FEEL THAT GOD CALLED YOU TO MINISTRY?

WHAT SORT OF MINISTRY DO YOU FEEL CALLED TO?

WHY ARE YOU CALLED TO THIS CHURCH?

WHAT IS YOUR CURRENT STATE OF HEALTH?

DO YOU KNOW OF ANY IMPEDIMENT TO YOU BEING ORDAINED IN DUE COURSE?

WILL YOU DEPEND ON YOUR MINISTRY FOR YOUR LIVELYHOOD?

I, THE UNDERSIGNED, ATTEST THAT ALL THE INFORMATION HEREIN SUBMITTED IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.

DATE: SIGNED:

ATTACH COPY OF BAPTISM, CONFIRMATION AND MARRIAGE CERTIFICATES.

ENCLOSE TWENTY DOLLARS (US) PROCESSING FEE

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