FCCMI Covenant Member Application

Title

First Name and Middle Initial

Last Name

Date of Birth

Month

Day

Year

Marital Status

Single

Married

Divorced

Widowed

*If married, Spouse's Name

Mailing Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Secondary Phone

Preferred time of day for contacting:

Time

HoursMinutes

Email

Church Name

Church Address

City

State or Province

Zip Code

Country

Church Email

Church Phone

Admin. Assistant Email

Church Website

Church Social Media

When was the church established?

Month

Day

Year

Will you and your church be fully affiliated with FCCMI Fellowship or is this membership for Pastoral Covering only?

What is your current denomination, orgranization, or ministry affiliation?

Have you received credentials from another denomination, organization, or ministry affiliation? If yes, please provide what type:

Upload a copy of credential document(s)

Does your church or ministry have By-Laws or Rules of Order?

Yes

No

Upload a copy of the By-Laws or Rules of Order

Is your church or ministry governed by Board of Directors or Deacons, and Trustees?

Board of Directors

Deacons and/or Trustees

Other

Do you agree that Covenant Partnership fees will be expected from you and/or ministry leadership?

Yes

No

Covenant Partnership fee amounts will be shared and explained.

How did you hear about The Father's Council? And what ignited your interest to become a Covenant Member?

Please provide your Signature if you agree to join:

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Signature should be within the box.

Upon sumbitting this application, there is a one-time and non-refundable application fee of:

$150

FATHER'S COUNCIL COVENANT MINISTRIES INTERNATIONAL

Our Application

We are excited about your decision to join! Please complete the following information and then submit.
*There is a one-time and non-refundable application fee of $150.00 USD that will be processed upon submission of this Membership Application.

FCCMI Covenant Member Application

Our Application

We are excited about your decision to join! Please complete the following information and then submit. *There is a one-time and non-refundable application fee of $150.00 USD that will be processed upon submission of this Membership Application.

FCCMI Covenant Member Application

We are excited about your decision to join! Please complete the following information and then submit.
*There is a one-time and non-refundable application fee of $150.00 USD that will be processed upon submission of this Membership Application.