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Application

Bishop Cornelius Williams - General Secretary 

Archbishop William Hudson, III - Presiding Bishop 

 

Grace Mercy & Peace, 

Thank you for interest in Pilgrim Assemblies International. It is with great joy that we invite you to fill out the official application to be a member of Pilgrim Assemblies International.  Once you have submitted your application, you will receive a confirmation email of your submission.  Please be patient with us as this process requires much diligence and time. 

 

*Please note submission of this application does not guarantee acceptance. Additionally, if any information has been falsified and you are accepted, immediate termination of membership will be executed. 

Title

Date of Birth
Highest level of education completed
High School
Associate degree
Bachelors degree
Graduate degree
Doctorate degree
Marital Status
Married
Single
Separated
Divorced
Widow(er)
Do you, or have you experienced any physical, psychological, or emotional conditions which requires treatment?
Yes
No
If yes, has this condition impaired your ability to function, or make sound executive and judicious decisions?
Yes
No

In the section below, please fill out questions in regards to your church. 

Are you a Senior Pastor?
Yes
No
Church Anniversary/ Date Organized
What is the size of your congregation?
100 or less
250 or less
500 or less
500+
Single Do you have any previous church or reformation/denominational affiliation?
Yes
No
Have you officially withdrawn?
Yes
No
I am at this time requesting membership into Pilgrim Assemblies International, Inc.
Yes
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