| Name
(First, Middle, Surname) |
| Street Address
|
| City
, State
, Zip
, Country
|
Phone Number
|
| Fax
|
| Cell Phone
|
| Email
|
| Date of Birth
|
| Sex
|
| Race
|
| Marital Status
If "Other"
|
Spouse's Name
Date of Birth
| Do you have Children?
|
Children names and ages: |
|
|
| Are you a United States citizen?
|
| If "No", country of citizenship:
|
| Are you a resident alien?
– If yes, please include a copy of U.S. government authorization (green card or other). Email it as an attachment to apply@dcmian.com or mail it to the address on the contact page. |
| Did you attend Bible School?
|
| If "Yes", what school.
|
| Did you graduate?
|
| Date of graduation
|
If you currently hold credentials through another organization, please indicate below what credentials you hold and with what organization.
- If "Other"
Date of ceremony
|
Church or Organization that performed Licensing/Ordination ceremony:
|
If you DO NOT currently hold credentials, have you held ministerial credentials in the past?
- If "Other"
Date of ceremony
|
Church or Organization that performed Licensing/Ordination ceremony:
|
How did you hear about Destiny Churches & Ministries International Network?
|
Why do you want to be affiliated with DCMIAN
|
Please give a brief description and history of your business.
|
How do you see your business involved in advancing the Kingdom of God?
|
Have you been actively engaged in regular public ministry?
|
What church are you currently actively involved?
|
Briefly state the vision of your business with which you are involved:
|
Briefly describe the business activities in which you are currently involved. How long have you been involved? What results have you seen?
|
Are the activities in which you are currently involved voluntary or do you receive remuneration?
|
Is the business you desire to affiliate affiliated with any other organizations?
If so, please indicate those affiliations: Name and location and leaders name.
|
Please give references of two persons who are in ministry (one must be from other than the ministry listed above) who have known you for at least six months:
1.
2.
|
Have you ever been accused, arrested or convicted of any felonies including child molestation?
If yes, please indicate fully the charge or accusation and the results of that charge or accusation.
If your application is accepted would you agree to a police background check?
|
Submitting this application indicates that you agree with our purpose and faith statements. Destiny Churches & Ministries International expects you to do your best to be an ACTIVE, SUPPORTING member of the network.
Applicant’s Signature
Date:
(This constitutes an electronic signature)
Comments:
|
| |
