Ministry Head Questionnaire

GMCI MAILING ADDRESS
P O BOX 2557
Glendale, AZ 85311
602-277-1953
gmci4u@AOL.com

ANNUAL MINISTERS
CONFERENCE
Phoenix, AZ
October 10 - 11- 12, 2024

Attention Please

Please do not submit membership donation
without a Renewal application
A Renewal form will be mailed to you.
You can also renew on line.

________________

RENEWAL DONATIONS FOR MEMBERSHIP
$80 iNDIVIDUAL - COUPLE $12024

Ames International School of Ministry
vrizzo@amesbible.org

MINISTRY HEAD QUESTIONNAIRE

The following information is being requested so that we might be better aquainted with you and your ministry. Thank you for your understanding. Please include a photo of yourself.

First Name:*
Last Name:*
Email Address:
Address:*
City:*
State:
Zip Code:
Date of Birth*
Home Telephone:*
Business Phone
Cell Phone

Martial Status:
Are you a citizen of the USA?*
In what year were you saved? (Born again)*
Ministry Name*

Do you believe in and have you received the Baptism of the Holy Ghost?*
Do you believe the Gifts of the Spirit are operational today as with the first church?*
Are you affiliated with any ministerial group fellowship or organization?*
If you answer yes to the abo ve question please give name
Are you acquainted with any member of GMCI? If yes please give name*
Do you currently have any criminal or civil lawsuits pending againt you? If yes give summary statement.*

Have you or any member of your staff ever been convicted of a felony including child abuse molestation or spousal abuse? If yes give summary statement*

Do you use any of the following?
If you use any of the above give summary
What is your belief concerning the homosexual lifestyle?

Please type your name again to confirm all the above information is true to the best of your knowledge.*
Do not enter anything in this field:

* indicates a required field

Please fill this field.