RFIM- Fellowship of Covenant ChurchesPlease fill out the application in its entirety. Contact us if you have any questions or concerns. Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth Marital Status * Single Married Divorced Widowed Spouse's Name (if applicable) Anniversary Date (if applicable) Personal Social Media Facebook Instagram Twitter Other PART 1 University/Seminary Attended Church/Ministry Name Physical Address Address 1 Address 2 City State/Province Zip/Postal Code Country Church/Ministry Phone (###) ### #### Church Social Media Facebook Instagram Twitter Other Church Website Occupation (If Bi-Vocational) Part 2 Thank you!