MEMBERSHIP RENEWAL FORM Due by December 1, 2017 (enclose a $10.00 late fee after 1/1/2017)

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1 MEMBERSHIP RENEWAL FORM Due by December 1, 2017 (enclose a $10.00 late fee after 1/1/2017) Renewal Minister in Training (MIT) $ $ Renewal for Helps/Support Ministries $ $ Renewal for Chaplain $ $ Renewal for Market Place Minister $ $ Renewal Licensed Minister Credentials $ $ Renewal Ordained Minister Credentials $ $ Renewal for Comprehensive Charter Includes one Ordained Minister Credentials & 501c3 coverage $ $ Renewal for Inclusive Charter includes one Ordained Minister Credentials $ $ Renewal for Market Place Ministry: includes one Ordained Minister Credentials or Ministry Officer $ $ Renewal for FCFI License / Ordination Credentials(circle one) (Renewal Packet Attached) $ $ Late Fee $ $ Renewal for Foreign Nationals. (Per Individual basis) Contact Presiding Missions Director PLEASE TYPE OR PRINT CLEARLY Minister s Name: (Print exactly what you want to appear on your certificate) Address: City: State: Zip: Please include address: Type of Ministry you are doing : Pastor Missionary Minister evangelist Other Church or Organization Name: Address: City: State: Zip: Home Phone ( ) - Office Phone: ( ) - Cell: ( ) - Address: Name of current sponsor: Address A copy of the 2018 Membership Directory will be posted on the FCFI Website. (Password protected) NOTE: We are accepting current information on your ministry to be published in the 2018 Membership Directory. Please send us any updated information plus current photos as soon as possible. For Office Use Only: Total Amount Due: $ Amount Received: $ Check# Date: Data In Computer: Mailed Cert.

2 Faith Christian Fellowship International MINISTRY CREDENTIAL RENEWAL PACKET

3 2018 CHANGES IN GOVERNMENT REGULATIONS FOR CREDENTIALS PLEASE READ CAREFULLY Dear Fellow Minister, I call you blessed in the wonderful Name of Jesus! God is continually doing great and wonderful things here at Faith Christian Fellowship International. It is my prayer that you have found God to be just as great and wonderful in your life and ministry as you serve Him. It is time once again to renew your credentials with Faith Christian Fellowship International. Due to the change in the regulations regarding credentials it is necessary for your credentials to be renewed by the end of the year. All credentials with Faith Christian Fellowship International, License and/or Ordination will expire on December 31, Failure to return this form by December 31, 2017 will indicate to us that you no longer need our assistance and you will no longer be credentialed through Faith Christian Fellowship International. It is important that you complete and return the enclosed form as soon as possible. Please read and sign the enclosed Minister's Statement of Commitment and return it with your 2018 Membership Renewal Form with correct payment included, and your Credential Renewal Form with a payment of $ This fee is not included in your 2018 FCFI Membership Fee. Once we receive your renewal form, we will issue your 2018 Credentials. Thank you for your service to the King! May you be richly blessed as you continue to labor for Him in the work He has called you to! In HIS Service, Kenneth E. Harbaum, President

4 2018 License / Ordination Renewal Form Please use black ink and print clearly (renewal fee of $35.00 must be included) Date: / / Name: M F Mailing Address: Physical Address: City: State: Zip Phone: Fax: _ Cell: Address: Birthdate: / / Married: Yes No Anniversary Date: / / Spouse's Name: Birthdate: / / Current Ministerial Status: Ordained Licensed Other Is Faith Christian Fellowship International still your credentialing agency? Yes No Date Credentials were granted: / / (full date please) Do you still desire to be credentialed by Faith Christian Fellowship International? Yes No Are you still active in ministry? Yes No Give a brief summary of your ministry for the past year: (use the back for more room) Signature Date Adopted 09/27/2016

5 2018 Minister s Statement of Commitment I, the undersigned, realize that by receiving credentials from Faith Christian Fellowship International, I am entering a covenant to live a clean, pure, holy and upright life that will honor the Lord Jesus Christ, Faith Christian Fellowship International and my fellow gospel ministers. My ministerial behavior and conduct of duties must be performed with utmost accuracy, professionalism, excellence, and always in line with the Holy Scriptures. I am willing and hereby do accept the leadership of the presiding Bishop and will allow him to speak into my life and ministry even though he may not be my pastor or ministerial leader, I respect him and his position as leader of the Faith Christian Fellowship International Credential Program. I am further willing to and do hereby agree to abide by and agree to the Faith Christian Fellowship International Statement of Faith and Doctrine and will conduct myself accordingly. I fully understand that I am not authorized to provide ministerial services and / or perform sacerdotal functions contrary to the Faith Christian Fellowship International Statement of Faith and Doctrine, the Christian faith, and the Holy Scriptures (the authorized King James Version of the Bible). I understand that I am not required, nor legally authorized, to provide (and must specifically choose against the provision of) services to any individual(s) if such request is in violation of these religious beliefs and Doctrine. However, any and all decisions pertaining to providing such services shall be carried out in a manner that promotes the salvation (the redemption of man from the bondage of sin and biblical acceptance of the provision of Jesus Christ for eternal life) of all persons. I understand that if I do not abide by the beliefs and Doctrine of Faith Christian Fellowship International as clearly documented in the Statement of Faith and Doctrine, and the moment I violate these established beliefs my credentials are automatically revoked, and the authorization to function granted to me by Faith Christian Fellowship International is immediately rescinded. I attest to the fact that I have read, understand, and agree with the Faith Christian Fellowship International Statement of Faith and Doctrine and, as a condition of holding credentials, and the policies and procedures of the Faith Christian Fellowship International Credential Program, and conduct myself accordingly. Name of Applicant (please print) Applicant s Signature

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