My Redeemer Lives Christian Ministry
	14837 Detroit Ave., PMB194, Lakewood, Ohio 44107, USA
	3-5-161/1/A Jammigadda, Suryapet, 508213, Nalgonda Dist., Andhra Pradesh, INDIA
Application for Association
My Redeemer Lives Christian Ministry is an independent, non-denominational ministry. This form is for Christian churches and ministries in developing countries that need sponsors to support their churches, educational programs, and/or social service programs to orphans, widows, disabled persons, or the destitute. This form must be completed by the Senior Pastor or Founder. NOTICE: Completion of this form does not guarantee any funds from My Redeemer Lives Christian Ministry, nor does it negate your continued independent activities of soliciting ministries to support you.
PLEASE PRINT CLEARLY OR TYPE Applications that are illegible will not be processed. (Page Setup for Printing: A4-size paper, ½" left & right and 1" top & bottom margins)
Date (MM/DD/YY)			Country
Your Name
Position/Title
Church or Ministry Name
Church or Ministry Street Address
City/Town State/Region
Postal Code Country
Mailing Address (if different)
City/Town State/Region
Postal Code & Country
Phone Number	Country Code		Area Code		Phone Number
Email Address
Website (if any)	http://
REFERENCES Please provide the name(s) of pastors or ministry leaders in the United States, Canada, Western Europe, Australia, or New Zealand who have visited you and observed your ministry work. They will be contacted and will serve as references for you in processing this application. (PLEASE PRINT CLEARLY OR TYPE)
Full Name
Job Title/Position
Ministry Name
City, State, Country
Phone Number	Country Code		Area Code		Phone Number
Email Address
Website (if any)	http://
Full Name
Job Title/Position
Ministry Name
City, State, Country
Phone Number	Country Code		Area Code		Phone Number
Email Address
Website (if any)	http://
Full Name
Job Title/Position
Ministry Name
City, State, Country
Phone Number	Country Code		Area Code		Phone Number
Email Address
Website (if any)	http://
Please fill in this section as completely and accurately as possible.
In what month and year was your church or ministry started?           MM/YYYY
In what month does your fiscal year begin?
Is your church or ministry legally registered with the government?
	Yes		No		If not, why not? Please give details.
Do you currently have a church building or other structure you use for church and/or social service programs? Yes _____  No _____ Please describe.
Do you own or rent the facility? What is the monthly mortgage or rent (in U.S. Dollars)? Own _____  Rent _____  If renting, give term and details of lease agreement.
What are other monthly costs directly related to your ministry or social service program(s)? Please list service(s) and cost(s) in U.S. Dollars.
If you have a church ministry, how many church members do you have? Do you also offer Bible studies, prayer or healing services, men's and women's fellowships, children's programs, family counseling? Please describe in detail. (Use additional paper if needed)
Do you currently provide support with food, clothing, education, medical care, and/or shelter for poor children or orphans, elderly persons, disabled persons, or the destitute? Please give details.  (Use additional paper if needed)
Does your church/ministry have a bank checking account? If not, you must open an account before receiving any funds. Yes _____  No ______ (Do NOT give account number here.)
	Bank Name
	Location
Is your church/ministry currently receiving financial assistance from any other church(es), ministry(ies), or government(s)? Yes _____  No _____ Please give details.
Who will be in charge of funds contributed for your ministry? Please give name and title. Is he/she born again? If so, when or how long? Is he/she spirit-filled?
Are you seeking ordination from My Redeemer Lives Christian Ministry?
	Yes		No
SIGNATURE
By signing below, you acknowledge before Almighty God that you have answered all questions truthfully to the best of your abilities and knowledge, and that you have read and agree with the Mission Statement and Statement of Beliefs as stated on the website.
Your Name
Your Title / Position
Your Signature
Date Signed