Ministrial Affiliation Application

Fill out the form below. Once the form is submitted your $100 application fee is due immediately. A Paypal button will appear after you submit this form. If you are paying by check, please call and let us know.

Please fill out form as completely as possible.

Name:
Position:
Gender:
Marital Status:
Spouse Name:
Date of Birth:
Home Phone:
2nd Phone:
Fax:
Email:
Full Address:

If You Are Currently A Pastor
Name of Church:
Phone:
Fax:
Full Address:

If Not Pastoring
Ministry Name:
Briefly Describe Your Ministry:
Church You Are A Member Of:
Church Full Address:
Pastor:
Church Phone:

Ministerial Status
 
Current Ministerial Status:
Church/Organization Granting Credentials:
Full Address:
Date Credentials Granted:
Do you plan to retire your credentials from this organization:

Credentials Apply For:


References
 
Minister Reference:
Phone:
Full Address:

Additional Reference #1:

Position:
Phone:
Full Address:

Additional Reference #2:

Position:
Phone:
Full Address:
Membership is $100

 

International Ministries Network (IMN) is an apostolic network for equipping and releasing ministers. 

IMN is a threefold network of apostles, ministers and churches.  We are not independent, but seek to be affiliated with other similar apostolic networks.   National and international networking allows for increased resources and cooperative ministries beyond the capabilities of a small, independent group.

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