Application for Membership Form Personal InformationPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameLast NameDate of BirthSelect GenderGenderMaleFemaleNationalityNational ID / Passport NoSelect StatusMarital StatusSingleMarriedDivorcedWidowedEmail AddressPhone *CellVillageDistrictSectorCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweSpiritual BackgroundAre you born again?YesNoDate of SalvationDate of Water BaptismChurch / Ministry AffiliationCurrent Church Position or Ministry Role (if any)Name of Pastor / Spiritual LeaderContact of Pastor / Spiritual LeaderMembership categoryMembership categoryIndividual Member – Active participant in KMNC missions, programs, and fellowships.Institutional Member – Church, ministry, or organization partnering with KMNC.Associate Member – Supporter or well-wisher of KMNC vision and programs.Youth / Student Member – Young person committed to missions and discipleship.Education and Professional BackgroundEducationHighest Level of EducationArea of Study / ExpertiseOccupation / Current PositionSkills or Talents You Can Contribute to KMNCMotivation for MembershipPlease describe briefly why you wish to become a member of Kingdom Missions Network CommunitiesCommitment and AvailabilityAre you willing to serve as a volunteer in KMNC programs or projects?YesNoAreas of interestEvangelismCommunity DevelopmentYouth EmpowermentEducationAgricultureWomen EmpowermentMissions & Church PlantingHealth & Social WorkAdministrationTraining & ResearchOthersReferencesReference 1Full NameRelationshipPhoneEmail AddressReference 2Full NameRelationshipPhoneEmail AddressDocument UploadChoose FileNo file chosenDelete uploaded fileDeclarationDeclarationI, the undersigned, declare that the information provided above is true and correct to the best of my knowledge. I understand that any false statement may lead to rejection or cancellation of membership. I commit to uphold the Vision, Mission, and Values of Kingdom Missions Network Communities (KMNC), and to actively participate in its programs for the advancement of God’s Kingdom.DateConsent *Confirm that the information provided is true and accurate.Apply
