Sign-Up for IAM Licensing

Title

First Name *

Middle Name

Last Name *

Suffix

Email *

Phone *

Extension

Address Line 1

City

State/Province

Postal Code

Country *

Spouse's Name

Ministry Phone *

Home Phone (if different)

Ministry Name *

Ministry Address (if different)

Your IAM Sponsor Name (who introduced you)

Your IAM Sponsor email address

In what ways do you think IAM can help you fulfill your mission?

TELL US ABOUT YOUR MINISTRY Include in your response, answers to the following, as well as any additional information: * What is your purpose and mission? * How long have you been involved in this type of ministry?

Have you taken courses or completed education including Bible school, college, and/or any seminars in ministry? *

Please read Membership Guidelines and IAM Statement of Faith, Priorities and Financial Policies, and indicate your agreement.*Please read Membership Guidelines and IAM Statement of Faith, Priorities and Financial Policies, and indicate your agreement.*I have read and agree with IAM Membership Guidelines *I have read and agree with IAM Statements of Faith, Priorities and Financial Policies *

10 + 15 =

* INDICATES REQUIRED FIELD