Name:_____________________________

Contact Person (If applicant is a ministry):
__________________________________

Address:
________________________________________________

E-mail:
_________________________________________________

Web Address:
___________________________________________

Telephone:
______________________________________________

Type of Ministry:
________________________________________

Please provide the following at the time of application:

A) Your personal, written testimony

B) Your statement of faith

C) A description of your ministry or your ministry proposal

I, _______________________________, have read and am in full agreement with the covenant of faith and statement of purpose of Holy Mountain Mission Corps as were provided in conjunction with this application. I also have read and understand the structural outline which was contained herein and agree to work within the framework thereof. Therefore, I hereby submit this request for membership in said mission corps.

____________________________________

Signature