FCM Membership Application

If you need to renew your membership, please click here.

Please apply for FCM membership by one of the following 2 ways:

1. Send The Application Form By Mail: Download PDF

2. Fill Out The Application Form Below.

Physical Address

Mailing Address

We want to get better acquainted with you, our new member, so that FCM can serve your needs and call upon your talents to help others. Optionally, a small photo of you is appreciated. If you prefer to use your own format, please feel free to do so, as long as the following information is included. Optionally, a small photo of you is appreciated, email a JPEG photo to: This email address is being protected from spambots. You need JavaScript enabled to view it.

FCM ministers are committed to providing a safe environment for those to whom they minister. Therefore, FCM does not accept for membership persons convicted of physical, sexual or other types of violence toward another person.

Applicants are subject to background checks, including liens, and waive the right to privacy regarding these investigations. By completing this membership application, you agree to the terms of membership.


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. It is also assumed that when a person joins FCM, and especially when certified, that he/she has attained emotional and sexual maturity thereby allowing the FCM member to minister comfortably with persons of any age or gender who may come for assistance.

Therefore, membership in FCM is based on the following representations, and the signature of the member will indicate understanding of, and agreement with, these standards.

Please answer Yes or No to the following questions.

The Federation of Christian Ministries does not assume nor accept responsibility for the actions and practices nor the results therefrom of any of its ministers, present or past. The applicant/renewal member hereby represents that to the best of his/her knowledge the statements set forth herein are true. If the information supplied herein changes between the date of application and the time when the FCM membership/renewal is issued, or subsequently at any time the applicant/renewal member remains a member of FCM, the applicant/renewal member shall immediately notify FCM.


I know that membership in FCM is based on the above representations, and my signature below indicates the understanding of, and the agreement with, these standards. By submitting this form, I consent to the exchange of information and documents among any and all persons, institutions, individuals, licensing agencies, and federal and state governmental bodies with whom I have been associated that are material to evaluating and monitoring my professional practices, qualifications, competence, morality and ethics. I also understand that the Federation of Christian Ministries will rely upon the information given in this form to admit me to membership in the Federation.

I also agree to inform the Federation of any changes or modifications to the information provided herein, so that at all times the Federation will have accurate and current information.