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Membership Application
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Purpose for Application. Are you seeking covering or affiliation?
Covering
Affiliation
Name of Church/Ministry
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Address of Church/Ministry
Church/Ministry Email
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Email
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Church/Ministry Phone
How long has the church/ministry been in existence?
Church Website
Size of Membership
Less than 100
100-300
300-500
500-800
800-1000
1000-1500
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Pastor's Title
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Elder
Pastor
Overseer
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Name of Pastor
Pastor's Phone/Cell
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Email
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Number of years in position
Marital Status
Single
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Widowed
Other than preaching, please describe other gifts.
Name of Fellowship/Organization
Fellowship/Organization website
Fellowship Address
Fellowship/Organization Phone
Name of Leader
What attracted you to this fellowship?*
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