Membership Application

Present Ministerial Status
Ministerial Status*
- Licensed Minister
- Ordained Minister
- Both
Church Licensed by
Date Licensed
Church Phone
Church Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Church Ordained by
Date of Ordination
Church Phone (Ordained)
Church Address (Ordained)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What Church, Fellowship, or Organization have you previously carried ministerial papers with?
ICFM licenses and ordains ministers. Please contact the ICFM office for additional information on licensing and ordination. Any minister joining ICFM must indicate what church or denomination has granted his/her license or ordination. The membership committee reserves the right to require a personal appearance of the applicant before determination is given.
To complete the form, please click the next button.

References
Name of the minister submitting the minister's recommendation plus two (2) personal references
Minister (Recommendation Form)*
First Last
The name of the minister who will send in the recommendation form.
Minister (Reference)*
First Last
Minister Reference Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Minister Reference Phone*
Businessman (Reference)*
First Last
Businessman Reference Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Businessman Reference Phone*
Participation*
- I will do my best to participate in this convention.
Will you do your best to be an active part of this convention?
Statement of Faith*
- I Agree with the ICFM Statement of Faith
I understand that by joining I will adhere to the ICFM Statement of Faith.
Signature*
Please sign digitally using your mouse or input device.
Date*
To complete the form, please click the next button.

Personal Information