IAKCM REGISTRATION APPLICATION

Please fill out the form below.

CHURCH/MINISTRY/INDIVIDUAL NAME: *

CHURCH/MINISTRY/INDIVIDUAL MAILING ADDRESS: *

Phone *

FAX

Email Address *

Website

PASTOR'S/LEADER'S NAME: *

PASTOR'S/LEADER'S EMAIL: *

Home Phone: *

Cell: *

Contact Person's Name: *

CONTACT PERON'S EMAIL:

Home Phone: *

Cell: *

Business Phone: *

CURRENT LEADERSHIP POSITIONS ON STAFF:
(Please check if paid full-time; paid part-time; or volunteer lay person. Indicate how many in each category)

Please list additional staff positions and status:

Is the church in full agreement with the IAKCM Statement of Faith?YesNo

Does the church need assistance? (Indicate area/type)YesNo

(Please note any difference(s)

Area/Type

PLEASE SUBMIT THE FOLLOWING WITH THIS APPLICATION

Processing Fee- US $50.00 (Non-refundable)
Registration Fee- US $100.00
Local incorporation documents
Any historical or current relevant material about the Church or Ministry which would aid in the Review Council's decisions
Vision and Mission Statements of Church or Ministry
A Doctrinal Statement of the Church or Ministry

iakcminfo@gmail.com

Credit / Debit Card *

IAKCM REGISTRATION APPLICATION

Please fill out the form below.

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