Application Form

Please print form and then mail to:
Gospel Revelation, Inc.
PO Box 52 - Connersville, IN 47731

Ordination, License, Exhorter
And Church Charter

Name ________________________________________
Address ______________________________________
City _________________________________________
State _____________ Zip Code ___________________
Phone # _________________ 2nd Phone # __________

Applying For: (Please circle one)

Ordained Minister
License
Exhorter
Church Charter

Church Information

Church __________________________________
Pastor ___________________________________
Address __________________________________
City ______________________________________
State ___________________ Zip Code __________
Phone # ___________________________________

If applying for Church Charter Fill
Out Your Church Information:

Church ________________________________________
Address _______________________________________
City __________________________________________
State _____________________ Zip Code ____________
Phone # _______________________________________

How long have you been saved?
_______________________________________________

Have you helped or been involved in any area of ministry?
_______________________________________________
________________________________________________
________________________________________________

If so, in what ways?
________________________________________________
________________________________________________
________________________________________________

Please give a description of your salvation experience (testimony).
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_________________________________________________
_________________________________________________
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_________________________________________________
_________________________________________________
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Who is sponsoring you into Gospel Revelation, Inc.?
_________________________________________________

What is their phone number?
_________________________________________________

If accepted into Gospel Revelation, what do you plan to do as a minister/licensee/exhorter/church charter? (Please be specific)
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
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__________________________________________________
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What are your goals and what kind of steps are you
going to take to reach them?
__________________________________________________ __________________________________________________
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Do you have any special talents or hobbies?
___________________________________________________
___________________________________________________

List three referrals with phone numbers:

Name: _______________ Phone # _____________
Name: _______________ Phone # _____________
Name: _______________ Phone # _____________
As a member of Gospel Revelation, Inc. I will conduct myself in a manner that is pleasing and acceptable to God. I will not be prejudice to any person(s). I will treat all people with the love of Christ. I will not bear false witness and I will be honest in all doings. I will not judge people, for that is God's job. I will minister to all people. I will not condemn people based on what they believe. I will accept and help all races, creed, ages, and religion. I will uphold the law as an abiding citizen and walk with the integrity of Christ.

_______________________
Signature and Date

Attach check of $50.00 dollars made payable to Gospel Revelation, Inc. for an ordination, license, or exhorter fee. A $50.00 check for church charters. This covers our cost of materials, etc.

If you would like to, you can also send in a picture...but that is optional. We have a newsletter that we print out and put testimonials in. We would like to include your testimonial and picture if possible.

If you need more space then what was given feel free to add additional pages. Please print legibly while filling out this form.