Conference of Mississippi Baptist Evangelists

Type of Ministry           Year:  2009 2010 2011 2012

Preaching Revivals
Teaching (Conferences)
Music (Revivals and Crusades)
Music (Concert Ministries)
Children's Ministries
Clowning
Comedy
Drama
Illusionist
Prision Ministries
Street Evangelism
Ventriloquism
Women's Conferences
Youth Evangelism

Type of Membership being applied for: Full Time Vocational Evangelist Associate Evangelist Bivocational Evangelist

Name: 
Ministry Name: 
Group Name:
Home Address: 
Mailing Address: 
City/State/zip:
Home Telephone: 
Business Telephone: 
Email Address: 
WebSite Address: 
Birthdate: 

Number of years in Evangelism:
Year that you started in Evangelism: 

Marital Status:  Married Single Divorced Divorced and remarried Widowed
Spouse Name:    Spouse Birthdate:

Does your spouse support you in this application:  Yes No

Pastor's Name: 
Current Church Membership: 
Church Mailing Address: 
Association:   City: 
Church Zip Code: 

Education:

Institution  /   City/State   /  Graduation Year       /     Degree

List two Recent Ministry Opportunities:

Date of Ordination: (if ordained)
Ordaining Church:
Address (city/State): 

References: (Name/address/city/state/zip/phone) 2 required
 

In making this application I recognize that the membership committee of the Conference of Mississippi Baptist Evangelists have been elected to make decisions concerning membership.  The decision of the commitee shall be final in this matter.  I also agree that the committee has ultimate oversight over membership of the conference.   Therefore, should I prove by temperament, dispostion, attitude, or conduct to be unsuited for endorsement in the opinion of the membership committee and should it decide my membership should be withdrawn, I agree to abide by it's decisions.  I fully subscribe to the Affirmations of Accountability adopted by the Conference of Mississippi Baptist Evangelists and the Southern Baptist Convention in 1998.

                                                              Please choose I Agree I do not agree

Additional Comments:

Membership dues are $50.00 per year.