CHURCH / ORGANIZATION NAME:
HOW LONG HAVE YOU BEEN THE PASTOR OF THE CHURCH YOU ARE CURRENTLY AT?
ADDRESS OF CHURCH
OFFICE PHONE
FAX
WEBSITE ADDRESS
HOME ADDRESS
HOME PHONE
EMAIL
DATE OF INCORPORATION
DO YOU HAVE 501C3 STATUS 

Yes | No
STATE OF INCORPORATION
DO YOU NEED ASSISTANCE APPLYING FOR 501C3     Yes | No
WHAT OFFICE DO YOU HOLD IN THE 5 FOLD MINISTRY?
NAME THE PERSON THAT ORDAINED YOU INTO YOUR OFFICE
NAME THE ORGANIZATION THAT ORDAINED YOU INTO YOUR OFFICE
ADDRESS
CITY
STATE
ZIP
MAILING ADDRESS
CITY
STATE
ZIP
OFFICE PHONE
FAX
WEB ADDRESS
DO YOU HAVE A CONSTITUTION?  Yes | No
DO YOU HAVE BY-LAWS?  Yes | No
DOES YOUR CHURCH/ORGANIZATION KEEP MINUTES AND ACCURATE FINANCIAL RECORDS?   Yes | No
APPLICATION SUBMITTED BY
SIGNATURE
DATE
Security Code*
 

Please remit $100 Membership fee along with completed Membership Application, Ministerial References, Questionnaire and signed Covenant Agreement to: The Congress of Apostolic and Prophetic Ministries