COPMI Membership Interest Form

Your name *

Last name

Email address *

Phone number *

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Ecclesiastical Title *

Select…ApostleBishopDeaconDr.ElderEvangelistMissionaryPastorProphetMr.Mrs.

Address *

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Street Address

Apt/unit/box (optional)

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Postal code

Birthdate *

Highest level of education completed *

High School Diploma

Associate's Degree

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Marital status

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Spouse's name

Anniversary date

Please upload all ministry Certification, Licensing, Ordination and Episcopal documents.

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Are you a Senior Pastor?

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Church Name

Address

HomeWorkOther

Country

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Street Address

Apt/unit/box (optional)

City

State

Postal code

Church Anniversary / Date Organized

Church website

Church Facebook

I acknowledge that I am submitting my applcation for consideration to join Celebration of Praise Ministries, Inc. Submission of this application does NOT guarantee acceptance. *

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