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I am applying for:  Affiliation Apostolic Accountability Credentials All of the Above

PERSONAL DATA

Name


Address



AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming



US Citizen?
 Yes No
If No, Country of Citizenship

Sex?
 Male Female
Date of Birth

Marital Status:
 Engaged Married Single Divorced Separated**
**Separated Details:

Name of Spouse:

Date of Marriage, present or proposed:

CHURCH/MINISTRY INFORMATION

Church Name:

Church Phone:

Church Address



AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Senior Pastor Name:

How long have you attended this church?

Affiliation, if any:

If less than one year, list the name of the church you formerly attended, including address, phone number, and senior pastor’s name. Also, list how long you attended and your reason for leaving:

Congregational size-average Sunday morning attendance: *

HISTORY – How many years have you attended or pastored this church?*

HISTORY – How many years have you attended or pastored this church?*

Give a brief history of the church*

GOVERNMENTAL STRUCTURE – Describe how the church is governed. *

Do you have Elders?
 Yes No
If so, how many?

List their name, spouse, age, tenure as an elder, and area of responsibility.

Describe your function and relationship with the elders?*

Do you have other pastoral or church staff? If so, give names and positions. *

PERSONAL/MINISTRY CHARACTER REFERENCES

Please identify two references other than family members who have known you for more than one year.
Ref Name One:

Ref Address:



AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming


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Ref Name Two:

Ref Address:



AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming


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YOUR SPIRITUAL PILGRIMAGE

Date you were saved:

Raised in Christian Home?
 Yes No
Denomination:
Briefly relate your conversion experience:
Date you were baptized by immersion:

Date you were baptized by the Holy Spirit with the evidence of speaking in tongues:

Understanding that a minister of the Gospel must maintain the highest moral and ethical standards; do you feel there is any area of your personal life that would hinder your ministry at this time?
 Yes** No
**If Yes, please explain:

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YOUR MINISTRY

Are you presently or have you ever been ordained? *
 Yes No
If so, please list the denomination/organization and date of credential.*

If you are going to leave or have left the denomination/organization where you received your credentials, please explain why: *

Describe the spiritual gifts that are operating in your ministry. Also, what natural giftings and leadership abilities you possess?*

What are the giftings of your spouse?*

Outside the ministry, describe other areas where you have had leadership experience. Include vocational skills and training. *

Identify the area(s) of the five-fold ministry, according to Ephesians 4:11, in which you are called by God: *

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YOUR COMMITMENT TO DNI

Please state why you desire to be a member of the DNI network. What do you hope to gain from this association, and how do you see your relationship to Bishop Tony Miller?*

How did you hear about DNI? *

Have you previously submitted an application to DNI?*
 Yes No
**If so, when:

Are you familiar with the ministry of Bishop Tony Miller? (copy)*
 Yes No
Have you read any of Tony Miller's material, listened to his tapes/CD’s?*
 Yes No
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YOUR VISION

In an effort to understand your vision concerning your ministry, please attach a one page, typed essay.

or upload here:

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AGREEMENT

 I have read the DNI Handbook, and both understand and agree with the vision, purpose, and core values stated therein.
 I understand the principle the tithing to one’s spiritual storehouse, and am willing to make a regular, monthly financial contribution for the ongoing support of DNI.
 I am in full agreement with the vision, purpose, and requirements of DNI. By signing this application, I am indicating my desire to become a committed member of the Destiny Network International.
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Website Address

Please confirm that you are human by filling out the form below:


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Please remember that no applications will be reviewed unless they are paired with a DNI Application Fee, which you can find here. Please pay the application fee after you have submitted this form.
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