Ecclesia Eccumenical Leadership   Membership Intake Form
This is not a legal document of any kind. This form is our way of collecting information about our members so that we can keep accurate records of those that have partnered with us.
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Email *
Name *
First and last name
Date of Birth *
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Marital Status: *
Mailing Address *
City *
State *
Country *
Best Contact number *
Which is your current ministerial position(s)? *
What year did you answer your calling to ministry? *
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Type of Membership with Ecclesia                                               *
Please Give the Name and Number of One Character References That are not relatives and can give reference to your character and Leadership Ability. *
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