Renewal Form 2025

Join Us

Home
About Us
Membership
Education
Renewal Form 2025
Contact
Member
- Cart

Renewal Form 2025whmnstaging2024-12-03T21:42:08+00:00

2025 Renewal Form

Renewal Fee is $80.00

Download PDF of Renewal Form

Renewal Form Instructions

1. You can renew three ways:

type directly into the pdf (download above) and email the completed form to lbarlow@christiancenter.org
complete a hardcopy of the form, and mail it to the WHMN offices
fill in the form below and submit.

2. Please answer each question in full.

3. You will receive your new card if your renewal is approved and when payment is made.

*You can pay by check, by calling the WHMN office with your credit card information, or by submitting payment online.

We appreciate the opportunity to serve you!

Type of Renewal *

Member
Christian Worker
Licensed
Ordained

Please Send All Correspondence

Please send all correspondence to this address

Personal Information

First Name *

Last Name *

Date *

Email *

Home/Cell Phone Number *

Home Address *

Address Line 1

City

State

Zip Code

Marital Status *

Single
Married
Divorced
Remarried
Widowed

If you have been divorced/remarried since your last renewal or since becoming a new memeber (if you became a member within the last year), please explain the circumstances of the change in marital status.

Church/Ministry Information

Church/Ministry Name *

Church/Ministry Phone Number *

Email Address

Website

Church/Ministry Address *

Address Line 1

City

State

Zip Code

Please select your area(s) of responsibility *

Senior Pastor
Associate Pastor
Youth Pastor
Teacher
Apostle
Prophet
Evangelist
Christian Worker
Children's Pastor
Administrator
Worship Pastor
Chaplain
Prison Minister
Missionary
Other

If you are licensed/ ordained, have you fulfilled the preaching requirement of twenty or more engagements this year, or are you actively involved in full-time ministry, employed on a church staff, or engaged in one of the five-fold ministries (Ephesians 4:11)? *

Please provide details about your ministry activity in 2023 *

Please provide a description of the main focus of your ministry *

If you are a Senior Pastor, would you like one of our pastors to minister at one of your church services?

Are you affiliated with other ministers who are interested in establishing a relationship with WHMN? If yes, please provide contact information. *

Are you currently licensed with/ordained by any other ministry organization? *

If you are licensed with/ordained by other ministry organizations, please provide details (names and addresses) *

Approximately how many sermons did you preach last year? *

Approximately how many souls did you win to Christ last year? *

Approximately how many baptisms did you perform last year? *

We value your input. Do you have suggestions for WHMN that you believe would benefit its members? Are there things we could do better?

Signature

I hereby submit myself to World Harvest Ministers Network for spiritual support and guidance, personal counseling, accountability, and discipline. I declare all of the above questions which I have answered to be true to the best of my knowledge. *

Select Date *

Title

WHMN
530 E. Ireland Rd.
South Bend, IN 46614

(574) 291-3292
lbarlow@christiancenter.org