Online Church Application

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

FELLOWSHIP

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 $120

Ames International School of Ministry
vrizzo@amesbible.org

Church Online Application

CHURCH (USA) APPLICATION
PLEASE NOTE: This application is for USA churches only that are structured to meet IRS qualifications and desire to come under our legal and spiritual covering. Please read the INSTRUCTIONS for making church application by going to the Credentials/Applications window and scrolling down to the Church Application.

If the pastor is not a personal member of GMCI, you will need to complete the MINISTRY HEAD QUESTIONNAIRE. See that heading in the menu section to the left of this form. PLEASE NOTE: APPLICATION PROCESS CANNOT BE COMPLETED WITHOUT PASTOR PHOTO AND MEMBERSHIP DUES.

USA CHURCH APPLICATION

Church Name*

Today's Date*

Mailing Address (Give street city state & zip)*

Physical Address (Give street city state & zip)*

Pastors Name*

Office Phone with area code*

Contact Phone*

Cell Phone

Email Address:

Web site

Is the Pastor affiliated with GMCI?

If the pastor does not have credentials with GMCI nor has applied for them does he/she hold papers with some other group?

Secretary's Name*

Secretary's Phone*

In what year was this church established?*

Is the church incorporated?

Is one of the reasons for church affiliation under our Group Exemption to sponsor an individual through immigration for special Visas or green card?

Approximate number of church members?

Do you keep Business Meeting minutes?

Does the church have an EIN?

What is your EIN?*

EIN Exact Name and address as submitted to IRS for an EIN. If you have a copy of the SS4 issued by the IRS please send a copy.*

Date Your EIN Was Approved By The IRS*

Does the pastor or any staff member receive income from the church?

If yes are taxes withheld?

Has the church been filing any kind of tax forms? State Yes or No. If Yes what kind of forms have been filed?*

Is the church applying for Legal Covering under our Group Ruling Exemption?

Has the church ever had a problem with the IRS or has the church ever been denied tax exemption status with the IRS? If yes give brief summary*

Have you read and are you in agreement with our Statement of Faith?

Is the church considered a Spirit Filled full gospel church?

Does the church operate a Day Care Nursery or School other than Sunday school?

Does the church have a Child Abuse Prevention Policy?

Does the church have liability insurance?

Does the church or pastor have any Civil or Criminal Law Suites pending against it?

If Yes give brief statement about the charges

Through what source did you learn of GMCI?*

Electronic Signature - By typing my name on this applicaton form I affirm that I am a legal representative of the church and authorized to sign this application for affiliation with GMCI. Give name and position*

List officers or leadership of church

Pastor / Director*

Vice President / Associate*

Secretary*

Treasurer*

Inclusion in Group - By typing my name here as the Senior Pastor of our local assembly I certify that this church is hereby authorized to and does request affiliation under the Group Ruling Tax Exemption of Gospel Ministers and Churches International*

Selection List

BE SURE TO CLICK THE SUBMIT BUTTON WHEN APPLICATION IS COMPLETED

OFFICE USE ONLY

Date App Recid

Photo Rec'd

Approved

Dues Rec'd

Data Input

Creds Processed

Date Mailed

Do not enter anything in this field:

* indicates a required field

CLICK HERE TO SUBMIT APPLICATION

Please fill this field.