| Please select which type of member you are: |
|
|
| Name: |
|
| Address: |
|
|
|
| City: |
|
State: |
|
|
|
| Zip Code: |
|
Country: |
|
|
|
| Home Phone: |
|
Work Phone: |
|
|
|
| Email: |
|
|
|
|
|
| |
| Your main ministry: |
|
| Additional ministries: |
|
| Do you belong to a small community of Faith? |
|
|
Do you want to be included in an electronic network of other FCM members in the same ministry?
|
|
|
| Describe your participation within the FCM community during the past year: |
|
The purpose of the annual National Assembly is to build community, support ministry, and provide professional update.
How many assemblies have you attended these past 3 years? |
|
| I have updated my skills in ministry this past year by: (i.e. taking a course, teaching a course, attending training seminars, reading books) |
|
| If you would like to serve on a standing committee, please check which one(s): |
|
|
Commissioned members are required to have a ministry colleague.
Please tell us who your ministry colleague is and when you last met: |
|
I would like the following to appear on my 2013 FCM membership card and certificate (Please check):
Clergy
Rev.
|
|
| Name exactly as it should appear on card: |
|
|
All members please read, sign and date the following:
It is the position of FCM that each member of FCM holds primary responsibility for maintaining appropriate professional and personal boundaries in all ministerial relationships. Within the past year, have you been convicted of a felony, or have you had any disciplinary action taken against you, or are any such actions pending by any licensing and/or certifying authority?
If you answered yes, please download the PDF of the form to fill out your renewal and send it with your dues payment to the Central Office
|
|
| I have read the Constitution/By Laws, Ethics Statement and Professional Practices Policy of the Federation of Christian Ministries and agree to abide by the conditions specified in these documents: |
|
| Date: |
|
|
Dues payments are for 2013 (January 1st. through December 31st 2013)
| Non-Commissioned member dues: |
$50 ($60 after 12/31/12) |
| Commissioned member dues and certification renewal fee: |
$145 ($160 after 12/31/12) |
| Professional Endorsed Membership dues & fees: |
$235 ($270 after 12/31/12) |
| International Council Of Community Churches (ICCC): |
$30 (not available after 12/31/12 |
|
International Council of Community Churches (ICCC)
Membership
Any commissioned FCM member is eligible to become an Affiliated Minister with the
International Council of Community Churches (ICCC).
MEMBERSHIP CAMPAIGN ENDS DECEMBER 31, 2012 FOR THE YEAR 2013
|
|
|
|
You must make your payments in order to complete the process. After you submit this form, you can visit our Online Payments page, where you can make your payments.
|
|
|
