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- Legal Name:…………………………………………………………………………………………….
- Address including city, state, province, country,:……………………………………………………………………………………………………… ……………………………………………………………………………………………………………………
- Tile (pastor, Rev Dr, Rev,
Evangelist, Teacher, businessman, politician, president etc)……………………………….......
- Home phone:………………………………………
cell phone:………………………………….
- Age/date of birth:………………………………………………………………………………………..marital
status:………………………………………………………………………………………………...
- Email address:…………………………………………………………………………………………..
- If married name of wife:………………………………………………………………………….
- Number of children: male……………………………….female……………………………
- Ethnic Origin : (a)white/Caucasian (b)black/Afro-American
(c)Asian/Pacific Islander(d)Hispanic (e)American Indian /Alaskan Native (f)other
- What is your ministry in the body of Christ……………………………………………………………………………………………………………
- Church Address……………………………………………………………………………………………………………………………………………………………………………………………………………………………….
- Your position in your church if any……………………………………………………………………………………………………………….
- Name of your pastor…………………………………………………………………………………….
- His contact……………………………………………………………………………………………………
- Affiliations of your church?.........................................................
- How long have you been in ministry?.............................................
- your Educational back ground:……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
- What is your present occupation?.................................................
- Years in that position?..............................................................
- How did you heard of iacm?.......................................................
- What do you think can be done to improve iacm?…………………………………………………………………………………………………………………………………………………………………………………………………………………………………
- Please describe in some detail your experiences with God i.e. before you became a Christian,
your conversion experience and testimony of how God have worked in you on a separate sheet of pepper.
- What can you also do to help?............................................................................................................................................................................
- Are you under any insurance cover?..................................................................................
- Do you speak in tongues? (Yes)……………………………………
(No)…………………………
- Are you filled with the Holy Spirit: (yes)……………….
(No)………………………….
- Are you baptized by immersion?..................................................
- When were you Baptised, give details including date, year, place …………………………………………………………………………………………………………………….
- What office do you desire in this organization if you have been offered one?...................................................................................
- Summarized your relationship with God at present.
- If any what are your dreams and visions with God?
- Do you smoke? …………………………………………………………………………………………
- How many languages do you speak?
- How would you describe your motivations and gifts?
- Have you ever engage in drugs and alcohol abuse, please explain?
- Have you have any involvement in the occult?
- How would you like me to testify about you internationally?
- Have you ever traveled overseas?.......................................
Please sign your name below before sending this application to iacm
I agree to abide by all policies and a regulation of iacm.The information provided on the application
is correct and completed to the best of my knowledge. Please make a donation of
¢30,000.00, $5.00.euro 5.00, 5.00GBP or more which is your membership certificate.
Thank you for understanding.
Name………………………………………………………..
Signature of
applicant……………………………………….
Date:………………………………………………………..
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