If you have decided that you would like to become a Member of CCC then please fill out the Application below. It will be processed immediately and you will be contacted by one of our Apostolic Council Members. Once you have been accepted as a Member you will then go online and set up your Monthly Dues payment at https://give.cornerstone.cc/christcovenantcoalition

Membership Application

Fields marked with an * are required - 

PART 1 - PERSONAL INFORMATION PLEASE TYPE OR PRINT LEGIBLY

Name *
Name
Address *
Address
Phone *
Phone
Date *
Date
Birth Date
Gender *
Spouse's name
Spouse's name
Name of CCC Member who Nominated You
Name of CCC Member who Nominated You

*Please correct errors before submitting this form.


PART 2 – MINISTRY/NETWORK INFORMATION PLEASE TYPE OR PRINT LEGIBLY

Name of your ministry/network/business *
Name of your ministry/network/business
Address
Address
Phone *
Phone
http://

*Please correct errors before submitting this form.

PART 3 – EMERGING APOSTOLIC LEADERSHIP

2. Provide the name of a person with knowledge of your ministry, to whom you are personally accountable: *
2. Provide the name of a person with knowledge of your ministry, to whom you are personally accountable:
Address *
Address
Phone *
Phone

*Please correct errors before submitting this form.


NOTE: Membership in US Coalition of Apostolic Leaders is restricted to individuals who have been recognized by a significant segment of the church, including peer-level apostolic leaders. It is intended to be seen as a professional society in which emerging apostolic leaders are able to relate to and connect with each other.