Credential Application - E4 Ministry Network-AGIF

Title

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

E-mail *

Phone *

Secondary Phone

Date of Birth *

Sex *

Male
Female

Marital Status *

Marital Status Explanation

State your ministry experience and doctrine. *

Please use at least 250 words to describe your ministry experience and doctrine.

Other Affiliations

Are you now or have you ever been a member of another ministerial fellowship, group or organization? If yes, please explain.

Classification *

If Other

Sponsoring Church/Organization Name

Sponsoring Church/Organization Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Sponsoring Church/Organization Phone

Clergy Care *

I will voluntarily participate in the Clergy Care.
I will not participate in the Clergy Care.

Referral Code

Credential Application Fee *

Price: $250.00

Credit Card *

Card

Name on Card

Total

$0.00

Signature *

Clear Signature

I hereby apply for credentials with the E4 Ministry Network-Assemblies of God International Fellowship. I generally subscribe to the statement of faith, and I acknowledge my responsibility to support the ministry with prayer and offerings, as the Lord provides.

Application for Credentials

Empowered · Encouraged · Equipped · Engaged