Contact Info

*Name

*Address

*City

*Province/State

*Postal Code

Day Phone

Evening Phone

Cell Phone

*Email

*Birthdate

Marital Status Select One No Change First Marriage Widowed - now remarried Divorced - now remoarried Single - never married Single - widowed Single - divorced

Spouse's Name

Number of Children

Comments

Mother's Maiden Name
(for security)

General Info

Occupation
other than ministry

Other Associations None MBI IAMCS UMJC IFMJ Jews For Jesus Chosen People AMC
To select more than one HOLD the Control key (Command Key for Macs) while you click. NOTE: We do not credential those associated or chartered with MIA, SANJ or any other "2-House" organization.

Present Credential with CTOMC Select One Messianic Ministry Apprentice Messianic Shammash Messianic Zachen Messianic Cantor Messianic Minister-Licensed Messianic Minister-Ordained Messianic Rebbitzin Messianic Rabbi

Please answer the following questions:

Do you STILL meet the Qualifications as listed for this credential? (required) Yes No

Do you substantially believe and can you boldly teach our Statement of Faith? (required) Yes No

Have you read and do you agree to follow our Regulations for Messianic Ministers, including monthly dues for CTOMC? (required) Yes No

Are you currently up to date with your required membership dues or are your dues being paid with this renewal?(required) Yes No

Please Read and Sign

I affirm before the Most High, upon the Holy Scriptures, that the above statements are true to the best of my knowledge. I agree to abide by the decisions of the CTOMC Credentials Beit Din. I realize that all qualifications and regulations are subject to change without notice. I indemnify CTOMC Credentials from any liability concerning my ability or inability or opportunity to conduct my office or ministry.

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*Required