Membership Application for

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Evangelical Ministries to New Religions

Name:

Ministry/Organization (if applicable):

Address:

City/ State/ Zip:

Email:

Phone: Day (_____) _____-_________ Evening: (_____) _____-_________ FAX: (_____) _____-_________

I am applying for (check one):

____ Individual Membership (complete page one only) ____ Ministry Membership (complete all information)

Church Membership History:

Church where you are presently a member:

Address:

City:

State:

Zip:

Pastor's Name:

I have been a member of this church for ______ years. I have been a Christian for _______ years.

List positions/offices held in conjunction with Church membership (e.g. deacon, elder, Sunday School teacher, etc.:

____ A letter of recommendation from my current pastor is enclosed with this application.

____ Please contact my Pastor for a letter of recommendation.

If membership at your current Church is less than 3 years, provide the following information as regards Church membership for the last 6 years. (USE SEPARATE PAPER IF MORE SPACE IS NEEDED)

Church

Address

City/State

Dates Began/Left

Reason for Leaving

Give the names and addresses of two evangelical leaders we may contact for personal references or the signature of the active EMNR member recommending you:

By my signature below, I affirm I have read, agree, and will abide by the governing principles and guidelines set forth in the EMNR "Manual of Ethical and Doctrinal Standards".

Signature: __________________________________________________ Date: _____ / _____ / _____

Check the Annual Membership status for which you are applying (payment must accompany application) :

___ $25 Individual*

___ $35 Ministry (1-4 Staff Members) *

___ $50 Ministry (5+ Staff Members) *

___ I have enclosed my check for the above membership fees plus additional offices (if applicable)

___ Please charge $ __________ for the above membership fees plus additional offices (if applicable) to my (circle one)

Mastercard / Visa. Card # _________________________________ Expiration date _______/_______

* The" Individual" membership is for non-ministry applications only. In the case of multi-staff ministries, all correspondence from EMNR will be sent only to the office submitting this application. Other ministry offices/locations may be included to receive EMNR correspondence for an additional annual fee of $10 per location. If you have other offices or individuals that wish to be included on the EMNR mailing list please identify them in the appropriate section on the next page and enclose the additional fees.

Return application to: EMNR 402 Office Park Drive Suite G-20 Birmingham, Alabama 35223

End of EMNR Membership Application Page 1

MINISTRY INFORMATION (To be completed by those applying as a ministry/organization)

Is your ministry incorporated? ____ Yes ____ No

If yes, please complete the next line.

Date Incorporated: ____ / ____ / ____ State of Incorporation: _______________ Are you a Non-profit Inc.: ____ Yes ____ No

Provide the following information for all staff of your ministry to be included as EMNR members:

NAME	ADDRESS	CITY/STATE/ZIP	PHONE	YEARS WITH MINISTRY
1.
2.
3.
4.
_______ See attached (if more than four check here and submit on separate paper)

Additional Offices/Individuals to receive EMNR Correspondence (provide complete mailing address)

_______ See attached (if more than four check here and submit on separate paper)

Please provide the following information pertaining to your Board Members:

NAME	ADDRESS	CITY/STATE/ZIP	PHONE
1.
2.
3.
4.
5.
_______ See attached (if more than five check here and submit on separate paper)
Explain the nature of your organization?s ministry to people in new religions and cults:



List books/articles/pamphlets/tracts etc. you have authored as relates to the purposes of EMNR. Include publisher date and pages:


List courses, seminars and/or workshops you teach or have taught related to the purposes of EMNR. Provide conference and /or school names, dates and approximate size of classes:

If requested, is your ministry willing to submit a financial statement to EMNR? ____ Yes ____ No

Please enclose any additional information on your ministry. This should include your Statement of Faith along with the organization?s history, purposes and goals. Please send samples of your newsletter, resource literature and a catalog of materials you distribute. Also use an additional sheet, if necessary, to complete any response to the preceding inquiries.

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