The Fellowship Partnership Form

Title TitleApostleBishopProphetEvangelistPastorTeacherMinisterLeader

Full Name

My ministry role: My ministry role: Senior Pastor Co-Pastor

Gender: Gender: Male Female

Personal Email Address

Personal Mobile Phone (xxx-xxx-xxxx):

I am interested in (check all that apply): I am interested in (check all that apply): Spiritual covering Individual development Ministry development

Date of Birth (mm-dd-yyyy)

Marital Status Marital Status Married Single

Wedding Anniversary (if applicable; mm-dd-yyyy):

Spouse's Title Spouse's TitleApostleBishopProphetEvangelistPastorTeacherMinisterLeaderMr.Mrs.

Spouse's Full Name:

My spouse's ministry role: My spouse's ministry role: Co-Pastor Minister/Teacher Lay Leader

Spouse's Gender: Spouse's Gender: Male Female

Spouse's Email Address

Spouse's Mobile Phone (xxx-xxx-xxxx):

My spouse is interested in (check all that apply): My spouse is interested in (check all that apply): Spiritual covering Individual development Ministry development

Spouse's Date of Birth (mm-dd-yyyy)

Home Address:

Send personal mail to home address? Send personal mail to home address? Yes No

Mailing Address (if different from home address):

Full name of Ministry:

Ministry Website:

Social Media Accounts (check all that apply): Social Media Accounts (check all that apply): Facebook Instagram Twitter Other None

Ministry Email:

Ministry Phone (General):

Ministry Address:

Send ministry mail to? Send ministry mail to? Personal Mailing Address Ministry Mailing Address

Ministry Mailing Address (if different from ministry address):

Name of Ministry Administrator

Status of Ministry Administrator Status of Ministry AdministratorFull-time Ministry EmployeePart-time Ministry EmployeeVolunteer

Ministry Administrator Email Address

Ministry Administrator Phone

Number