Approve _____ Deny
_____ Date:
________________ By _________________
APPLICATION FOR IDIVIDUALS MINISTRY
Office Use Only
You must have three years Bible College to apply for Ordination.
You must have at least one year Bible College to apply for licensing.
International President Rev. Shirley J. Cunningham
National Director Rev. Penumaka Tata email tatapastor@yahoo.com
I am applying for Ordination License
Last Name: ___________________ First Name: ______________ Initial ________ Title _______
Street Address
_________________________________________________________________
District ________________________ Country ____________________
City: _________________________________ State ________________ Zip ________________
Phone No. _____________________________________
Information
Year
you accepted Jesus ________ Are
you filled with the Holy Spirit Yes NO
On
back write a short testimony of your salvation experience.
Date
of Birth YR _______ Mo ______
Day ________
Married Yes No Children How many
Have
you ever been ordained? Yes No If so, by whom and what denomination?
_______________________________________
________________________________
You
must have a pastor over you that you are accountable to. If you do not, you will need to submit to
Rev. Shirley J. Cunningham or Rev.
Samson Dasan as your pastors .
Your pastors name:
____________________________________
Address
______________________________________________________________
Church Name: ____________________________________________________________
Your Pastors signature:
__________________________________
Phone __________________________________
What is your calling? Pastor Evangelist Other -> Explain ________________________
____________________________________________________________________________.
Your Signature:
__________________________________
_____________
To
send this application, please email to Rev Dasan and he will give you
instruction and address.
samsondasan@rediffmail.com
Thank You Someone To Care International
Ministries, Inc. date