Federation of Christian Ministries - 2019 Endorsed Member Renewal Form

First Name

Last Name

Birthdate

Physical Address

Street

City

State

Zip

Mailing Address

Street

City

State

Zip

Preferred Phone:
Home Cell Work

Alternate Phone:
Home Cell Work

My ministry colleague is

We last met on

How often did you meet with your ministry colleague/peer?

Please choose from these options for identification on your 2019 FCM membership card and certificate:

Title

Rev None

Name (first, middle, last)

One Academic Degree (optional)

1. Are you a member of a professional organization?

No Yes

Other Organization Designation

3. Did you achieve a change in membership status in your professional organization in 2017?

No Yes

4. Did you have any significant changes or events in your family, work, or personal life?

No Yes

a. Please describe

b. How can FCM can be helpful to you?

5. What have you done this year to care for yourself physically, mentally and/or spiritually?

Your Main Ministry

Additional ministries

Do you belong to a community of faith?

No Yes

If "no" would you like to join or form one?

No Yes

Can you introduce them to FCM group membership?

No Yes

Describe your PARTICIPATION within the FCM community during the past year.

The purpose of the bi-annual National Assembly is to build community, support ministry, and provide professional update.

How many assemblies and regional gatherings, have you attended these past 3 years?

I have updated my knowledge/skills in ministry this past year by (e.g., taking or teaching a course, attending seminars, reading books)

To support FCM and its Mission I will:

be an Area Representative;

host an FCM gathering;

write an article for the Newsletter;

other;

Other

It is the position of FCM that each member of FCM holds primary responsibility for maintaining appropriate professional and personal boundaries in all ministerial relationships. Within the past year, have accusations been made about you,have you been convicted of a felony, or have you had any disciplinary action taken against you, or are any such actions pending by any licensing and/or certifying authority? Are there similar past actions which have not been declared to FCM?

No Yes

All members please read, sign and date the following:

PLEASE READ, SIGN AND DATE THE FOLLOWING
If you answered yes, please explain fully on an additional sheet of paper. I have read the Constitution/By Laws, Ethics Statement and Professional Practices Policy of the Federation of Christian Ministries and agree to abide by the conditions specified in these documents.

http://www.federationofchristianministries.org/index.php/about-fcm

Signature (Full Name)

Date

You must make your payments in order to complete the process. After you submit this form, go to our Online Payments page, where you can make your payments.

New Paradigms Of Ministry Serving The People Of God

Federation Of
Christian Ministries
1709 West 69th St. #3
Cleveland, OH 44102
Phone: 216-571-7698

2019 Commissioned/Endorsed Member Renewal Form

Please apply for renewal by one of the following 2 ways:

Members Registries