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CCMR Disciples Application for Candidates for Ministry
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Email
*
Your email
I am applying for
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Commission
In-Care
School for Ministry
Legal First Name
*
Your answer
Middle Initial
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Birth Date
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MM
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DD
/
YYYY
Ethnicity
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Choose
American Indian/Alaskan Native
Asian
Native Hawaiian or other Pacific Islander
Hispanic or Latino
Haitian
Middle Eastern
African-American
Of European Decent
Gender
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Man
Transfeminine
Transmasculine
Genderqueer
Gender Non-Conforming
Cisgender
Transgender
Two-Spirit
Femme
Intersex
Genderfluid
I do not wish to answer
An identity not listed
Address
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Your answer
Marital Status
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Your answer
Spouse's Name
Your answer
Children's Names & Ages
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