| 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?
|
Have you been actively engaged in regular public ministry?
|
What ministry or organization are you currently actively involved?
|
Briefly describe the ministry 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?
|
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.
|
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:
|
| |
