Chapter President Membership Form
Please fill out ONLY if you pursue opening a Destiny Arising Chapter in your area
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Disclosure: By submitting this questionnaire you acknowledge that this does not constitute an automatic approval to form a chapter. After reviewing these questions if you get selected to move forward you will be invited to participate in a special meeting so we can get to know you a little bit better. We will make our final determination and notify you of our decision 30 days after our meeting. *
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Name *
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DOB *
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Cell Phone Number: *
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Postal Address: *
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City *
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State *
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Zip Code *
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Country *
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Ministry/Church/Business Web page (if applicable):
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Email address *
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Family Mountain
I. What is your marital status? *
If single: Are you in a serious relationship? If so, are you living together? Please tell us about your dating Philosophy: *
Your answer
If Married: For how many years? Please describe your relationship with your husband: *
Your answer
If Divorced: How many years you were married? How many years since your divorce?Tell us under what circumstances you encountered that led you to get a divorce *
Your answer
If Widowed: How many years you were married? How many years since your spouse passing? Have you recovered form this tragic event?
Your answer
II. Do you have Children? If so, How many? Please describe is your relationship with your children.
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Faith Mountain
Do you attend church?
Where do you fellowship?
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Are you an Ordained Minister? If No, please continue to next Section. If yes, please answer this section questions. *
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What organization are you credentialed with?
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Please indicate the month and year of your ordination
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Who is your overseer? Please provide the contact information
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Where is your ministry based?
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What part of the 5-fold ministry are you called to? Please Explain and describe your work on this sphere of influence.
Your answer
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Business Mountain
Are you an entrepreneur or a business person? If No, please continue to next section. If yes, please answer the questions in this section. *
Please tell us and describe the type of business you have or are working with.
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Tell us more about the services or goods you provide.
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Tell us more about your role in that sphere(s) of influence.
Your answer
Email address *
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Education Mountain
What is your highest level of education? *
Please indicate your Degree and Major:
Your answer
Did you graduate? What year? If you didn’t graduate, please tell us why?
Your answer
Are you a parent, teacher, community member or work as an administrator or support staff in an area related to education? If No, please continue to next section. If Yes, please answer the questions on this section. *
Please tell us what type of work you are doing in the education area.
Your answer
Please describe your role in that sphere(s) of influence.
Your answer
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Government Mountain
Are you functioning or involved in any area related to Government? If No, please continue to next section. If Yes, please answer the questions in this section. *
Are you an elected official? If yes please indicate your position:
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What branch of government are you working at?
Your answer
Please tell us what type of work you are doing in that area.
Your answer
Tell us more about your role in that sphere of influence
Your answer
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Arts and Entertainment Mountain
Are you functioning or involved in any area related to Arts and Entertainment? If No, please continue to next section. If Yes, please answer the questions in this section. *
Please tell us what type of work you are doing in the Arts and Entertainment area.
Your answer
Tell us more about your role in that sphere of influence.
Your answer
Email address *
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Media Mountain
Are you functioning or involved in any area related to media? If No, please continue to next section. If Yes, please answer the questions in this section. *
Please tell us what type of work you are doing in the Media area.
Your answer
Tell us more about your role in that sphere of influence.
Your answer
Email address *
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Additional Considerations
Please share any other information about yourself that you feel might be relevant
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Why you are interested in becoming a Chapter? *
Your answer
Why do you think DA will add value to your organization? *
Your answer
Please let us know how you can add value to DA members in your area? Please explain: *
Your answer
Tell us how your vision aligns with DA vision. *
Your answer
Do you already have a group of women committed to help you establish the chapter? Please explain: *
Your answer
Email address *
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References
Please provide two letters of recommendation: A recommendation from a Destiny Arising member and a character reference from someone who has known you for at least two years. Please send documents by email to: Destinyarising1@aol.com *
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Email address *
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General Chapter Membership Guidelines:
1. Chapters agreed to follow all rules established by Destiny Arising and to conduct all activities in a respectful and honorable manner.
2. Chapters will be financially and fiscally independent from Destiny Arising.
3. Each chapter commits to submit a yearly “Work Plan or activities Projection”.
4. Chapters will be responsible of submitting an year-end report for their Chapter activities.
5. Chapters must inform DA president and seek approval if you intend to create web content using Social media (face book, Twitter, Instagram, etc.). Approved pages must be consistent with Destiny Arising mission statement and include direct link to Destiny Arising Main Page.
6. Each Chapter and its Directors commit to maintain open and honest communication with Board of Directors / team and to conduct all activities using appropriate business etiquette.
7. Each Chapter President must attend the DA yearly International summit, commit to help with and outside the International Summit and/or host a DA Summit with the Leadership Team.
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