Text Box: Office Use Only
Approve   _____
 Deny       _____
Date: ________________
By _________________
APPLICATION FOR CHURCHES TO

 COME UNDER THE COVERING OF

 Someone To Care

International Ministries, Inc.

Send  all applications  to

 INDIA - Rev. Penumaka Tata   email  tatapastor@yahoo.com

Other Countries  Rev. Shirley J. Cunningham   someonetocare@someonetocare.org 

You may email to them for more info.

 You must have three years Bible College and be an ordained pastor. 

I am applying for   Church affiliation  Yes   ______   No _________

India  -  I will contact  the national director ( Rev. Tata at   and ask for a copy of the constitution, doctrines and by-laws.  Yes  _______

Other Countries  -  I will contact Someone To Care and ask for constitution and by-laws.

CHURCH INFORMATION    PLEASE PRINT 

Pastors Last Name: ___________________   First Name: ______________  Initial ________   Title _______

Home Street Address _________________________________________________________________

District ________________________     Country ____________________

City: _________________________________   State ________________  Zip ________________

Home Phone No. _____________________________________

Information

What is the size of your congregation? ______________

How many churches do you pastor? ________________

Year you accepted Jesus ________   Are you  filled with the Holy Spirit Yes  ________    NO  __________

On back write a short testimony of your salvation experience. 

 

Date of Birth  YR _______    Mo ______  Day ________

Married  Yes  _____   No  _______     Children How many   _________

Have you ever been ordained?  Yes  ______     No  ________   If so, by whom and what denomination? _______________________________________   ________________________________

You must have a pastor over you that you are accountable to.  If you do not, you will need to submit to Rev. Shirley J. Cunningham  or Rev. Tata or Rev Blessing

Back to Info   

Home Page

as your pastors .

 

Your pastors name: ____________________________________

Address ______________________________________________________________

Church Name: ____________________________________________________________

Your Pastors signature: x__________________________________

Phone __________________________________

You must have at least four people on your board of directors.  This is necessary to be accepted into this organization. 

List them by  name and position along with their address and phone no.

 

1.  Name: _______________________________   Address ______________________________________________

Phone no. ______________________________________   Position _____________________________________

Signature: x_________________________________

2.  Name: _______________________________   Address ______________________________________________

Phone no. ______________________________________   Position _____________________________________

Signature: x____________________________________

3. Name: _______________________________   Address ______________________________________________

Phone no. ______________________________________   Position _____________________________________

Signature: x____________________________________

4. Name: _______________________________   Address ______________________________________________

Signature:x ____________________________________

Phone no. ______________________________________   Position _____________________________________

Signature: x_____________________________________

5. Name: _______________________________   Address ______________________________________________

Phone no. ______________________________________   Position _____________________________________

Signature: x_____________________________________________

    To be  filled out below by church pastor:

Pastor :  I __________________________________- understand that this affiliation in no way obligates Someone To Care International Ministries, Inc. to financially assist me in any way nor will Someone To Care International Ministries, Inc. be responsible for any of our obligations or debts in any way.  All the above signatures have read this and understand it.    Board of Directors please initial here.  ______   _______   ______  _______   __________

Pastor Sign Here _________________________________________