Personal Information |
| First Name |
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| Middle Name |
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| Last Name |
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| Address |
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| City |
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| State |
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| Zip Code |
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Birthdate
(MM/DD/YY) |
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| Home Phone |
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| Cellular Phone |
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| Pager Phone |
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| Fax |
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| E-mail |
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| Web site |
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| Marital Status |
Single
Married
Divorced
Remarried
Widow
Widower |
If divorced or separated,
would you be willing to furnish
GNCM with information
concerning the circumstances? |
Yes, I would be willing.
No, I would not be willing. |
| Spouse’s Name |
|
Spouse’s Birthdate
(MM/DD/YY) |
|
Wedding Anniversary
(MM/DD/YY) |
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| How long have you known the applicant? |
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| Number of Dependent Children |
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| Are you current with your financial obligations? |
Yes, I am.
No, I am not. |
| |
If not, please explain.
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| Have you ever been convicted of a felony? |
Yes
No |
| |
If so, give a brief description of the charge and details surrounding the charge:
|
Church Information |
| Church Name |
|
| Your Position |
|
| Physical Address |
|
| City |
|
| State |
|
| Zip Code |
|
Mailing Address
(If different from Physical Address above) |
|
| City |
|
| State |
|
| Zip Code |
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| Phone |
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| Private Phone |
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| Fax |
|
| E-mail |
|
| Web site |
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| Pastor’s Name |
|
Ministerial Information |
| Your Ministry |
Pastor
Associate Pastor
Assistant Pastor
Pastor Emeritus
Teacher
Missionary
Music Minister
Christian Educator
Youth Minister
Children’s Minister
Lay Minister
Evangelism
Other |
| |
If Other, please specify:
|
| How long in ministry? |
|
| Current Licensing |
Local
General |
| |
Ordination
Missionary
Worker
Lay Minister
None
Other |
| |
If Other, please specify:
|
| Ordaining/Licensing Body |
|
Date of Ordination
(MM/DD/YY) |
|
| Other organizations or churches with whom you have held credentials: |
| Organization or Church Name |
|
| Type of Credential |
|
Date of Ordination
(MM/DD/YY) |
|
| Organization or Church Name |
|
| Type of Credential |
|
Date of Ordination
(MM/DD/YY) |
|
| Are you in full time ministry? |
Yes
No |
| |
If no, name of employer:
|
| Your position in full time ministry |
|
| Are you active in your ministry? |
Yes
No |
| Has there ever been an ethical or moral charge against you? |
Yes
No |
| If yes, would you be willing to furnish details for the licensing committee? |
Yes
No |
Educational Information |
| Graduate of High School? |
Yes
No |
| Graduate of College? |
Yes
No |
| Graduate of Bible School? |
Yes
No |
| Name of College |
|
| Type of College Degree |
|
| Name of Bible School |
|
| Type of Bible School Degree |
|
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Sponsor and References
Global Network of Christian Ministries believes strongly in the principle of spiritual accountability. Accordingly, members must have an individual to whom they look for spiritual oversight and from whom they are open to receive counsel. Your sponsor should fulfill this responsibility. Read the Sponsor Agreement Form and have the individual who best fulfills this role in your life submit the Sponsor Form on your behalf. |
| Sponsor’s Name |
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| Sponsor’s Address |
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| Sponsor’s City |
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| Sponsor’s State |
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| Sponsor’s Zip Code |
|
Reference 1 |
| Name |
|
| Address |
|
| City |
|
| State |
|
| Zip Code |
|
Reference 2 |
| Name |
|
| Address |
|
| City |
|
| State |
|
| Zip Code |
|
Reference 3 |
| Name |
|
| Address |
|
| City |
|
| State |
|
| Zip Code |
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For Which Membership Level Are You Applying? |
|
| Payment Information |
|
Please note: There is a one-time fee of $35.00 for licensing or ordination in addition to the annual dues.
Having read the Consensus of Beliefs of GNCM, I do hereby pledge, to the best of my ability, to be loyal to and uphold the integrity, principles and goals of this fellowship. “Till we all come into the unity of the faith, and of the knowledge of the son of God, unto a perfect man, unto the measure of the stature of the fullness of Christ” (Ephesians 4:13) I also agree to pay my annual dues and to support GNCM with my prayers. |
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