Rapha Ministries International
IMF Application form

Please provide the following contact information:

Applicant's Name
Mailing Address
Country		Postal Code
Home Phone	Office Phone
Other Phone	(check one)   Mobile Phone   Pager   Friend's Phone
Email Address
Marital Status	(check one)   Married   Single   Divorced   Widower
Spouse's Name
Number of Children: Boys & Girls = Total

Educational Background: (check all that were completed and where and the degree awarded)

High School
College
Bible College
Seminary
Masters
Doctorate

Have you been licensed or ordained as a minister: Yes   No

When?

select month January Febuary March April May June July August September November December day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

By whom?

Ministerial Experience:

Present Place of Ministry:

Do you think you calling is: (check primary or present calling)

A Fivefold calling? Or a Lay calling?

Apostle   Prophet   Evangelist   Pastor   Teacher   Intercessor   Deacon   Elder   Helps   Administrator

Has you calling been confirmed by other?
      For Fivefold ministry callings, list four referances. For Lay callings, you need only list your present pastor.

	Name	Position	Address & Telephone
1.
2.
3.
4.

Are you financial affairs in good order? Yes   No
Do you owe money to another person or to a financial institution? Yes   No
            If yes, for what is the money owed?

Would you permit us to check your credit history? Yes   No

Are you seeking ordination through IMF? Yes   No