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Step 1 of 3 - CMI Clergy Renewal

PLEASE NOTE: You must complete ALL THREE steps to be renewed. Incomplete renewals cannot be processed.

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Full Name:

Birthdate:

Email Address:

Verify Email Address: (for verification)

Website:

CMI Pastoral Overseer:

Home Church:

Ministry Position:

If Licensed, select the approximate number of hours you were weekly involved in ministry:

(Choose One) N/A 10 hrs 20 hrs 30 hrs More

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Home/Family Data

Home Address:

City:

State: Zip:

Home Phone: (please include area code)

Cell Phone: (please include area code)

Spouse's Name:

Marital Status:
(Choose One) Single Married Divorced Remarried Widowed

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Ministry Data

Where are you employed?

Name of church/ministry?

Ministry Address:

City:

State: Zip:

Work Phone: (please include area code)

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Educational Data

Have you furthered your formal education in the past year?

(Choose One) Yes No

If yes, what formal education have you completed?: