APPLICATION FOR CHURCHES TOAPPLICATION FOR CHURCHES TO
COME UNDER THE COVERING OF
Someone To Care
International Ministries, Inc.
Send all applications to
INDIA - Rev. Penumaka Tata email tatapastor@yahoo.com
Other Countries Rev. Shirley J. Cunningham someonetocare@someonetocare.org
You may email to them for more info.
You must have three years Bible College and be an ordained pastor.
I am applying for Church affiliation Yes ______ No _________
India - I will contact the national director ( Rev. Tata at and ask for a copy of the constitution, doctrines and by-laws. Yes _______
Other Countries - I will contact Someone To Care and ask for constitution and by-laws.
CHURCH INFORMATION PLEASE PRINT
Pastors Last Name: ___________________ First Name: ______________ Initial ________ Title _______
Home Street Address _________________________________________________________________
District ________________________ Country ____________________
City: _________________________________ State ________________ Zip ________________
Home Phone No. _____________________________________
Information
What is the size of your congregation? ______________
How many churches do you pastor? ________________
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. Tata or Rev Blessing
as your pastors .
Your pastors name: ____________________________________
Address ______________________________________________________________
Church Name: ____________________________________________________________
Your Pastors signature: x__________________________________
Phone __________________________________
You must have at least four people on your board of directors. This is necessary to be accepted into this organization.
List them by name and position along with their address and phone no.
1. Name: _______________________________ Address ______________________________________________
Phone no. ______________________________________ Position _____________________________________
Signature: x_________________________________
2. Name: _______________________________ Address ______________________________________________
Phone no. ______________________________________ Position _____________________________________
Signature: x____________________________________
3. Name: _______________________________ Address ______________________________________________
Phone no. ______________________________________ Position _____________________________________
Signature: x____________________________________
4. Name: _______________________________ Address ______________________________________________
Signature:x ____________________________________
Phone no. ______________________________________ Position _____________________________________
Signature: x_____________________________________
5. Name: _______________________________ Address ______________________________________________
Phone no. ______________________________________ Position _____________________________________
Signature: x_____________________________________________
To be filled out below by church pastor:
Pastor : I __________________________________- understand that this affiliation in no way obligates Someone To Care International Ministries, Inc. to financially assist me in any way nor will Someone To Care International Ministries, Inc. be responsible for any of our obligations or debts in any way. All the above signatures have read this and understand it. Board of Directors please initial here. ______ _______ ______ _______ __________Pastor Sign Here _________________________________________