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Application for ministerial Statuts Recognition

Name	:
E-mail	:
Address	:
Country	:
Tel	:
Fax	:
Web site	:
Family Status	:	Married Single Divorced Remarried Widowed
Name of Spouse	:
Spouse Birth date
Children Names and Birth Dates	:
Schools Attended : Names and years attended	:
Explanation of Present Ministry	:	Apostle Prophet Evangelist Pastor Teacher Exhorter Missionary
Possition	:	Senior Pastor Assoc.Pastor Youth Pastor
Other	:
Credentials : Please mark your current credential status to which you are applying for
1- Ordination	:	Date By whom
2- Licensed	:	Date By whom
3- Other	:	Date By whom
Are you in full-time ministry ?	:	Yes No
How many years are you in ministry ?	:
Are you presently a member of a church ?	:	Yes No
If yes, Church Name	:	Phone
Church Address/City/Country	:
Pastor's Name	:
Pastor's Phone	:

SEND BY POST OR E-MAIL THE FOLLOWING: Two passport size photo ; A photo of your church, if pastoring; Copy of your current or previous credentials or cards;Copy of certificates if any, with a money order or travellers check of US $ 100 as a non-refundable processing fee.

Please have two Pastors in good standing write letters of recommendation sent to the AMN office. (At lease one of them a network member will be preferable).

SUBMITTING THIS APPLICATION INDICATES THAT YOU AGREE WITH OUR CONDITIONS OF APPLICATION