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Member Information
Title
(Required)
Apostle
Bishop
Bro.
Deacon
District Elder
Dr.
Elder
Evangelist
Sis.
Min.
Missionary
Mother
Overseer
Pastor
Presiding Elder
Rev.
Supt.
Name
(Required)
First
MI
Last
Suffix
Birth Month
(Required)
January
February
March
April
May
June
July
August
September
October
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December
Birth Day
(Required)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Would you like to be recognized by the association on your birthday?
(Required)
Yes
No
Marital Status
(Required)
Single
Married
Divorced
Widowed
Separated
Domestic Partnership
Address
(Required)
Street Address
Address Line 2
City
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
How do you prefer to be contacted?
(Required)
Phone/Text
Email Only
Do you hold any accredited academic degrees or certificates?
(Required)
Yes
No
The Congress of Christan Leadership will only recognize fully accredited institutions with limited exceptions.
Please list your degree, year awarded and the Institution that granted it.
(Required)
Church/Ministry
Church/Ministry Where you Serve
(Required)
Name of Pastor/Ministry Leader
(Required)
Church/Ministry Website
(Required)
If no website put N/A
Denomination Affiliation
(Required)
African Methodist Episcopal Church
African Methodist Episcopal Zion Church
American Baptist Churches USA
Apostolic Assemblies of Christ
Apostolic Overcoming Holy Church God
Assemblies of God
Bible Way Church of Our Lord Jesus Christ
Christ Holy Sanctified Church
Christian Church (Disciples of Christ)
Christian Methodist Episcopal Church
Church of Christ
Church of God
Church of God in Christ
Church of Our Lord Jesus Christ of the Apostolic Faith
Church of the Foursquare Gospel
Church of the Living God PGT
Church of the Nazarene
Evangelical Lutheran Church in America
Fire Baptized Holiness Church of God of the Americas
Full Gospel Baptist Church Fellowship
Mount Calvary Holy Church of America
Mount Sinai Holy Church of America Inc.
National Baptist Convention of America, Inc.
National Baptist Convention, USA, Inc.
National Missionary Baptist Convention of America
National Primitive Baptist Convention of the U.S.A.
Pentecostal Assemblies of World
Pentecostal Churches of the Apostolic Faith
Pentecostal Churches of Christ
Presbyterian Church (USA)
Progressive National Baptist Convention
Seventh-day Adventist Church
Southern Baptist Convention
United Church of Christ
United Holy Church of America
United Methodist Church
United Pentecostal Church International
Other - enter below
Church/Ministry Leadership Position
(Required)
Denomination Affiliation - Other
(Required)
Ministry Standing
(Required)
Licensed Minister
Ordained Minister
Consecrated/Bishop
Both Licensed and Ordained
Lay Member (non-clergy)
Other (please specify)
Ministry Standing - Other
(Required)
Getting to know you
How did you hear about us? (Select all that apply)
(Required)
Former Member of KBA
Attended a KBA Event
Search engine
Member Referral
Social Media Post/Share
Which of the Congress's areas of focus interest you most? (Select all that apply)
(Required)
Church Management & Administration
General Leadership
Pastoral Ministry/Leadership
Community Economic Development
Other
Which of the Congress's areas of focus interest you most? (Select all that apply) - Other
(Required)
Why are you interested in joining the Congress?
(Required)
Please provide your answer in complete sentences
The Congress operates through members volunteering their skills. How are you able to help?
(Required)
Social Media
PR and Public Image
Conference Service/Event Planning
Managing Budgets and Funds
Technology
Graphic Design
Maintaining Websites
Not at this time
Other
The Congress operates through members volunteering their skills. How are you able to help? - Other
(Required)
Do you have any other prior professional experience that you would like to utilize with the Congress?
(Required)
Membership Type
Membership Tier
(Required)
Fellowship | Free
Growth | $79.00
Anchor | $179.00
Total
Membership Pledge & Statement of Truth
I hereby certify that all information submitted in this application is true, accurate, and complete to the best of my knowledge. I understand that any false or misleading information may result in denial or revocation of membership.
If approved for membership in the Congress of Christian Leadership, I agree to uphold the values, standards, and governing policies of the organization and to conduct myself in a manner consistent with the principles of Christian leadership and service.
I acknowledge that full membership status and privileges are contingent upon payment of the required membership fee. If such payment is not received, I understand that I will be placed in the Fellowship Tier and will not receive full membership benefits until all required dues are paid in full.
I further acknowledge that the application fee is nonrefundable and, upon acceptance, will be applied toward my first year’s membership dues.
By signing and submitting my application, I affirm my agreement to the foregoing terms.
Signature
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