COVENANT PARTNERSHIP APPLICATION For Local Churches, Para church Ministries, Marketplace Ministries, and Networks
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1 COVENANT PARTNERSHIP APPLICATION For Local Churches, Para church Ministries, Marketplace Ministries, and Networks Church/Ministry Affiliation with Hakeem Collins Ministries/Champions International is based upon the mutual desire to develop relationships in an apostolic network of churches/ministries for the purpose of New Testament ministry including: fellowship, ministry equipping, church planting, and evangelism and missions outreach. CNI provides covering, counsel, and spiritual accountability, but is not connected legally or involved in the governing of local churches/ministries, other than to be available upon request to set a church/ministry in order, and speak into it according New Testament five- fold ministry and relational structure. APPLICATION REQUIREMEMENTS 1. Church/Ministry Vision - Enclose a copy of the vision and any promotional material.. 2. Recommending Pastor - If you are already credentialed, omit this requirement. Pastor: Telephone: Address: City, State & Zip: 3. $100 Application Fee - Includes Annual Fee for the first calendar year of affiliation. Make check payable to Champions International Ministries or Hakeem Collins 1
2 Church/Ministry Name: Street Address: City, State, Zip: Telephone: Fax: Avg. Attendance: Web Page: E- mail: Senior Pastor/Ministry Leader: Address: City, State, Zip Telephone: E- mail: Senior Pastor s/ministry Leader s Signature Date Return application with enclosures to: Champions International Ministries, P.O BOX 305 Wilmington, DE - (267)
3 APPLICATION REQUIREM ENTS 1. A DEFINITE CALL TO M INISTRY * C ertificate of M inistry Call to Serve Under a Pastor in Local Church Ministry * L icense Or Ordination Call to the Five- fold Ministries, or other Ministries * M em bership Only for Ministers Licensed or Ordained in a Denomination which does not permit them to be credentialed with HCM (Include a copy of the current credential with the application.) * C hurch or M inistry Affiliation Churches/Ministries called together for covering, fellowship, and kingdom ministry purposes. 2. ACTIVE SERVICE IN M INISTRY PROPORTIONAL TO THE CREDENTIAL Level of Ministry Position/Experience Will in part Determine the Level of Credential 3. APPLICATION FORM COM PLETED AND RETURNED 4. $75 APPLICATION FEE Includes the annual $50 credential fee for the first year (the fee is refundable in the unlikely event of denial). 5. TW O RECOM M ENDATIONS ON THE ENCLOSED FORM S: (1) Your current local church pastor or ministry you are serving. (2) A person who has known you well for at least 3 years (a Minister, friend, employer, etc.). Important: Can Not Be A family Member. IMPORTANT NOTE: Recommendations must be turned in to HCM directly by person completing the form. 6. COM M ITM ENT TO W ALK IN AGREEM ENT Signed commitment on the Application to walk in agreement with the HCM 3
4 Leadership, Statement of Faith, Biblical standards for personal life and ministry. APPLICATION FORM 1. Attach a CURRENT PHOTO (head and shoulders only). If you and your spouse are both applying, two separate applications must be completed. 2. Please attach membership fee payment to this form. Application will not be processed without payment. * REQUIRED * ATTACH A RECENT TO APPLICATION HEAD AND SHOULDERS Please check method of payment - Money Order or Check should be payable to CHAMPIONS INTERNATIONAL: MasterCard Visa Money Order Check # Card Number Amount $ Exp. Date: / Signature: 3. PLEASE TYPE or PRINT CLEARLY. If a question does not apply, type or print DNA. 4. I am applying for (please check one): Ministry Certificate License Ordination Membership PERSONAL INFORMATION Please print or type information. Mr./Mrs./Ms. Name (last) (first) (middle) (maiden) Apt. Present Address 4
5 City State Zip Phone: ( ) - Website: Other - List: ( ) - Address: US Citizen: Yes No If no, Country of Citizenship: If permanent resident alien, please enclose copy of green card. Sex: Male Female Date of Birth: / / Age: Spouse: Date of Birth: / / Age: Marital Status: Engaged* Married Single Divorced** Separated** * If you are currently engaged, please send us written confirmation once you are married so we can update our records. ** If divorce or separation has occurred in the past 3 years, please attach complete details typed on separate sheet. Name of Spouse or Fiancé (e): P.O BOX 305, WILMINGTON DE Phone: (267) info@hakeemcollinsministries.com Date of marriage, present or proposed: Is your spouse or fiancé (e) saved? Yes No Is your spouse or fiancé (e) filled with the Holy Spirit with the evidence of speaking in tongues? Yes No Is your spouse or fiancé (e) in full support of your call to ministry? Yes No If not, explain why? EDUCATIONAL HISTORY Circle highest level attained: GED Vocational/Technical: 1 2 College: Bible School Associate Bachelor Master s Specialist Doctorate List all higher educational institutions attended and degree earned: 5
6 Name of School Dates Major Diploma/Degree CHURCH AFFILIATION AND REFERENCES Print or type the name of the church which you currently pastor or are a member of. If you are a member of CIM, your member number is ( ) Name of Church Phone Street Address City State Zip Senior Pastor Denomination/Organization Web Site of above Church: address: How long have you attended this church? 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 reason for leaving: Name: PERSONAL / MINISTRY CHARACTER REFERENCES Please identify two references other than family members who have known you for more than a year. Name Street Address Apt. 6
7 ( ) City State Zip Phone Name Street Address Apt. ( ) City State Zip Phone YOUR SPIRITUAL PILGRIMAGE Date you were saved: / / Were you raised in a Christian home? Yes No Denomination/Organization: BRIEFLY relate your conversion experience: Date you were baptized by immersion: / / Date you were baptized with 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: Do you currently use tobacco, alcohol or illegal drugs? Yes No If so, please explain on a separate sheet. Are you familiar with the ministry of Hakeem Collins Ministries, Inc.? Yes No Have you read any of his material, books, listened to his tapes, or watched any of his video or follow him on social media? Yes No 7
8 YOUR VISION In an effort to understand your vision concerning your ministry, please attach a one-page, typed essay. YOUR MINISTRY Do you have a definite call of God on your life to enter the full-time ministry? Yes No If yes, please explain on a separate sheet. In an effort to understand your current involvement in ministry, please attach a one-page typed essay of explanation. Are you presently or have you ever been licensed or ordained? Yes No If so, please list the level and denomination/organization and date of credential; and, please attach a copy: If you are going to leave or have left the denomination/organization where credentialed, please explain why: Identify the area(s) of the five-fold ministry, according to Ephesians 4:11, in which you are called by God: Apostle Prophet Evangelist Pastor Teacher 8
9 YOUR INTEREST IN HAKEEM COLLINS MINISTRIES Do you agree with the Hakeem Collins Ministries (HCM) Statement of Faith? Yes No If you disagree with any point, please explain on a separate sheet of paper. Why do you want to join HCM and how can HCM help you in your ministry? How did you hear about Prophet Hakeem Collins? Have you previously submitted an application to HCM? Yes No If so, when: STATEMENT OF TRUTH I understand all items submitted to HCM as part of this application process become the permanent property of HCM and will not be returned. This application will be held in confidence. Only those persons with a need to know will review it. I hereby grant HCM and its leadership permission to verify the information provided on this application including references, recommendations and back ground checks. I hereby state that all the information contained on this application is correct and true. If HCM is notified that any of the information contained on this application is false; it will be grounds for immediate cancellation of application procedure and/or revocation. Signature of Agreement Date 9
10 HCM MINISTER S COVENANT Upon acceptance of ministerial credentials from Hakeem Collins Ministries (HCM), I hereby agree to covenant based on the following: To uphold the biblical standards of holiness and Godly conduct that are set forth in the Word of God governing ministers, in my personal life as well as my professional life; To submit to the leadership and covering provided by HCM, and to receive the wisdom, counsel and restoration available through HCM leadership; To commit to the HCM Statement of Faith and to faithfully minister sound doctrine; To support HCM with my prayers, financial support with tithes and offerings and with my presence at all meetings and functions provided by the fellowship whenever possible; To maintain a level of excellence and quality of ministry that will enhance and be an asset to Hakeem Collins Ministries; and I prayerfully and willfully submit this application this the day of, 20. Signed: Name: 10
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