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How to Become a Member
Online Application
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Home
Who Are We
Mission Statement
Purpose Statement
Core Values
Belief Statement
Our Commitment
Our Presiding Bishop
Governing Council
Locations
Events
Become a Member
Benefits of Membership
Expectations of Member
How to Become a Member
Online Application
The Bishop’s Blog
Contact Us
Home
Who Are We
Mission Statement
Purpose Statement
Core Values
Belief Statement
Our Commitment
Our Presiding Bishop
Governing Council
Locations
Events
Become a Member
Benefits of Membership
Expectations of Member
How to Become a Member
Online Application
The Bishop’s Blog
Contact Us
Home
Who Are We
Mission Statement
Purpose Statement
Core Values
Belief Statement
Our Commitment
Our Presiding Bishop
Governing Council
Locations
Events
Become a Member
Benefits of Membership
Expectations of Member
How to Become a Member
Online Application
The Bishop’s Blog
Contact Us
Online Application
Online Application
Title
First Name
Last Name
M.I.
Home Address
Address 2 (Optional)
City
State
Zip
Province
Country
Email
Cell Phone
Date of Birth
Gender
Male
Female
Marital Status
Married
Single
Divorced
Separated
Widowed
Spouse's First Name
Spouse's Maiden Name
Is Your Spouse in Ministry
Yes
No
Is Your Spouse Licensed
Yes
No
Is Your Spouse Ordained
Yes
No
Your Spouse's Ministry Position
Minister
Diaconate
Elder
Evangelist
Pastor
Overseer
Other
Are You the Senior Pastor of Your Church
Yes
No
Name of Church
Church Physical Address
Address 2 (Optional)
City
State
Zip
Province
Country
Church Mailing Address
Office Phone
Office Email address
Church Website
Administrator/Assistant
Administrator/Assistant Cell Number
Date Licensed
Date Ordained
Name of Ordaining Pastor
Name of Church
Denomination
Address of Church
Are You a Duly Consecrated Bishop
Yes
No
Consecration Date
Name of Organization/Fellowship
Chief Consecrator's Full Name
Name of Church
Phone
Email
What is Your Highest Level of Education Obtained?
High School
College
Graduate
Doctorate
Seminary/Bible College
Degree/Certificate Earned
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