APPLICATION FOR FELLOWSHIP / MEMBERSHIP

APPLICATION FOR LICENSE

FULL NAME:_______________________________________S.S. /

DL#_______________________

MAILING ADDRESS:________________________________________________________________

CITY:_____________________________STATE /

PROVINCE:_______________________________

DATE OF BIRTH:______/ ______/ _________. AGE:_______, U.S.

CITIZEN_____________

TELEPHONE (_____)________________E-MAIL:_________________________________________

CHURCH STATUS

FAMILY STATUS

SINGLE_______ MARRIED_________ DIVORCED_________ SEPARATED_______

SPOUSE FULL NAME:________________________________. S.S / DL#_______________________

SPOUSE DATE OF BIRTH:________________. NUMBER OF CHILDREN___________.

Have you been baptized in water by immersion in the name of Jesus Christ for the remission of sins according to Acts 2:38?___________, When?_____________________________.

Do you believe that speaking with other tongues as the spirit gives utterance is the initial sign of the baptism of the Holy Ghost (Acts 2:38, Acts 2:4, And Acts 10:44)?______________________________________.

Have you received this experience?___________, If yes when?

PERSONAL SPIRITUAL EXPERIENCE {WIFE}

Have you been baptized in water by immersion in the name of Jesus Christ for the remission of sins according to Acts 2:38?___________, When?_____________________________.

Do you believe that speaking with other tongues as the spirit gives utterance is the initial sign of the baptism of the Holy Ghost (Acts 2:38, Acts 2:4, And Acts 10:44)?______________________________________.

Have you received this experience?___________, If yes when?

_________________________________.

APPLICremarried?________________, if yes give dates:____________________________

If yes, was this remarriage before or after your conversion?_____________________________________

Are you willing for the District-Bishop, District-Elder, and / or the headquarters office to verify?

The above information? Including any Police records check, and past & / or present Pastors?_____Yes. _____No. Please Note if you choose No, your application could be denied.

Are you in Fellowship with or a Member of any other Apostolic Organization? _____Yes. ____No

If you answer Yes you may not be approved for fellowship with the JCAMI, as this would take away

From your current fellowship or the JCAMI. This would be unfair to both as you need to give 100% to

Just One!.

_______________________________________________________________

SPOUSE

Have you ever been divorce?___________. If yes, give dates:__________________________________

If yes was this divorce before or after your conversion?________________________________________

Have you ever been remarried?__________________, if yes give dates:__________________________

If yes, was this remarriage before or after your conversion?_____________________________________

Are you willing for the District-Bishop, District-Elder and / or the headquarters office to verify the above information?______

(If you or your spouse has ever been divorced, a complete copy of the divorce decree must be attached to this application.

If Married a Copy of your Marriage License must be Attached

Number of years of Ministerial experience:______________.

Will you cooperate with the district in which you reside?______________.

Have you ever been convicted of or pleaded guilty to child abuse or a crime involving actual or attempted sexual molestation of a minor?_________, if yes, please explain.________________________________

Have you ever been convicted or pleaded guilty to a crime or civil judgment, other than traffic violations?

____________if yes, please explain:______________________________________________________

Name of Your Church Or Ministry_______________________________________________________

Applying For (1) Local_______ (Under one Year in Ministry) (2) General________ (over one year)

(3) Ordination Credentials_________. (Over The Age of 21)

____________________________. _____________________________________________________

DATE SIGNATURE OF APPLICANTANT

Have you ever been divorced?___________. If yes, give dates:_________________________________

If yes was this divorce before or after your conversion?________________________________________

Have you ever been

New Application?_________. Upgrade Application?___________. Mailed to

 H.Q._______________

__________________Credentials ___________________General

__________Local