IMI Fellowship Application

Date (YYYY-MM-DD)(required)

First Name(required)

Last Name(required)

Spouse First Name

Spouse Last Name

Email(required)

Home Address(required)

Birthdate(required)

Telephone number with country code(required)

Name of your church or ministry?(required)

Your role or position in the ministry?(required)

1. Is your spouse also applying for membership in IMI Fellowship? (required)

Yes

No

2. Do you presently have a spiritual mentor?(required)

Yes

No

If yes what is your Mentors name?(required)

3. Do you agree with our statement of faith? (required)

Yes

No

4, Do you agree to work in unity with other members of IMI Fellowship?(required)

Yes

No

5. Do you give your permission for IMI to use your photograph in promotional materials or communication related to IMI and its ministries?(required)

Yes

No

Notes

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