I.N. A.C.T.S. Application

First Name *

Middle Initial

Last Name *

Title

Mailing Address *

Mailing Apt/Suite

Mailing City *

Mailing State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana ME MD Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Mailing Zip *

Mailing Country *

Residence Address

Residence Apt/Suite

Residence City

Residence State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana ME MD Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Residence Zip

Residence Country

Residence Phone w/ Area Code *

Work Phone w/ Area Code

Cell Phone w/ Area Code

Fax w/ Area Code

Emergency Phone w/ Area Code

Pager w/ Area Code

Email Address

Web Site

Date of Birth *

Place of Birth *

Gender Male Female

Citizenship *

ID or Passport # *

Marital Status *

Name of Spouse *

Number of Children *

Names/Ages *

Year Born Again *

Year Water Baptized *

Year Spirit Baptized *

Church Name *

Church Address *

Church Apt/Suite

Church City *

Church State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana ME MD Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Church Zip *

Church Country *

Church Phone w/ Area Code *

Church Fax w/ Area Code *

Church Email

Are you the Senior Minister? Yes No

If not, who is?

Denomination/Organization Affiliation *

How long have you been associated with this church? *

If less than one year, list former church

Are you on paid staff at this church? Yes No

What is your ministry position, or what service do you provide? *

If you are the Senior Minister at this church, give the date you started this church or became its Senior Minister?

What is the average Sunday morning attendance of the church? *

If called to the 5-Fold Ministry, which is your primary calling? Apostle Prophet Evangelist Pastor Teacher

Are you called to be a Market-place Minister? Yes No

Are you currently recognized as having the fruit of (works) and walking in the office of this calling, or are you emerging (developing and maturing) into this office? *

If for example you are an emerging apostle or emerging prophet, then what other areas of ministry has God had you in for preparation? *

When did you first sense a call to the ministry? *

What would you consider your primary ministry strengths? *

If not called to the 5-Fold Ministry, then to what ministry have you been called? *

Please briefly describe what you feel your primary ministry is, and the vision God has given you for it. *

How are you supported financially? *

If you are not supported currently from the ministry, then what is your present occupation? *

Have you ever been licensed or ordained? *

If yes, then by what church(es) or organization(s) and when?

Do you presently hold credentials with any organization or denomination? Yes No

If yes, then by what church(es) or organization(s) and when?

With what other religious organizations or ministries have you been in relationship?

Have you traveled to other nations for ministry yet? Yes No

If yes, then where?

If no, do you have a desire to travel to the nations and minister? Yes No

Are you also seeking 5-Fold Ministry ordination from INACTS? Yes No

How did you come into contact with INACTS and the ministry of Apostle Gregory and Dr. Tangerine Hope? *

Reference 1 - Name *

Reference 1 - Address *

Reference 1 - Apt/Suite

Reference 1 - City *

Reference 1 - State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana ME MD Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Reference 1 - Zip *

Reference 1 - Country *

Reference 1 - Office Phone w/ Area Code *

Reference 1 - Residence or Mobile w/ Area Code *

Reference 1 - Email

Reference 2 - Name *

Reference 2 - Address *

Reference 2 - Apt/Suite

Reference 2 - City *

Reference 2 - State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana ME MD Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Reference 2 - Zip *

Reference 2 - Country *

Reference 2 - Office Phone w/ Area Code *

Reference 2 - Residence or Mobile w/ Area Code *

Reference 2 - Email

Reference 3 - Name *

Reference 3 - Address *

Reference 3 - Apt/Suite

Reference 3 - City *

Reference 3 - State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana ME MD Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Reference 3 - Zip *

Reference 3 - Country *

Reference 3 - Office Phone w/ Area Code *

Reference 3 - Residence or Mobile w/ Area Code *

Reference 3 - Email