Please go back and fill in the entire form.
This is coming from the eim-join.cfm
A new EIM request is being made by: #form.Title# #form.Name#

There Contact information is as follows:
Date of Birth: #form.DOB#
Spouse Name: #form.Spouse#
Spouse's Date of Birth: #form.SDOB#
Wedding Anniversary: #form.WedAnn#
Address: #form.address#
City: #form.city#
State: #form.state_2# ZipCode: #form.zipcode2#
Country: #form.country#
Home Phone: #form.homephone#
Cell Phone: #form.cellphone#
Spouse's Cell Phone: #form.scellphone#

Ministry Information:
Church Name: #form.churchName#
Address: #form.churchadd#
City: #form.churchcity#
State: #form.churchstate_2#
Zip: #form.churchzip#
Country: #form.churchcountry#
Phone: #form.churchphone#
Website: #form.churchweb#
Ministry Position: #form.churchpos#
Founder of Ministry: #form.founder#
How Long the applicant has been with the ministry?: #form.churchtime#
Full-Time Ministry: #form.ftime#
Spouse Full-Time: #form.sftime#
Ministries Average Sunday Attendance: #form.avsunatt#
Number of Sunday Services: #form.numsunsrv#
Applicant expected from EIM: #form.eimexpect#
Area(s) of ministry to improve: #form.improve#

What Organization/Church ordained the Applicants?
Church Name: #form.c2Name#
Address: #form.c2address#
City: #form.c2address#
State: #form.c2state_2#
Zip: #form.c2zip#
Minister's Name: #form.c2mname#
Phone: #form.c2phone#
Date of Ordination: #form.c2doo#

What Organization/Church ordained the Applicants Ministry?
Church Name: #form.c3Name#
Address: #form.c3address#
City: #form.c3address#
State: #form.c3state_2#
Zip: #form.c3zip#
Minister's Name: #form.c3mname#
Phone: #form.c3phone#
Date of Ordination: #form.c3doo#
Blank on form: #form.c3other#

Authorize EIM to verify any information provided in this application: #form.auth#
If No then here is the explanation: #form.authexp#


Thank you #form.name#!

Thank your for your booking request. You will be redirected to the book store shortly.









Join many Pastors and Leaders who have connected their ministry with Life Changers Christian Center and the leadership of Drs. James & Stacia Pierce.

To join the Excellence In Ministry Network
Submit this application with a non-refundable $25 application fee. You will be forwarded to the bookstore to complete your application. This application is considered incomplete if the application fee is not paid.

 

Applicant Information


 
Title
Name (required)
Applicant's Date of Birth (MM/DD/YY)
Spouse Name
Spouse's Date of Birth (MM/DD/YY) 
Wedding Anniversary (MM/DD/YY) 
Home Address
City
State
Zip/Postal Code
Country
Home Phone Number
Applicant's Mobile Number
Spouse's Mobile Number
E-mail Address (required)
   

Ministry Information

   
Church Name (required)
Church Address
City
State
Zip/Postal Code
Country
Church Phone Number

Church Website Address

Applicant's Ministry Position
Is the applicant the founder of the Ministry? Yes No
If no, how long has the applicant been with the stated ministry?
Is the applicant in full-time ministry? Yes No
Is the spouse in full-time ministry? Yes No
Ministries Average Sunday Attendance:
Number of Sunday Services:
   

What do you expect from EIM?

What area(s) of ministry do you want to improve?

 
What Organization/Church ordained the Applicants?
Church Name
Church Address
City
State
Zip/Postal Code
Minister's Name
Church Phone Number
Date of Ordination
 

What Organization/Church ordained the Applicants Ministry?

Church Name
Church Address
City
State
Zip/Postal Code
Minister's Name
Church Phone Number
Date of Ordination
 

Thank you for applying for the Excellence In Ministry Network. By checking yes below, you authorize EIM to verify any information provided in this application.
Yes No
If No, please explain:

Excellence In Ministry Network - Drs. James & Stacia Pierce

Visite Dr. Pierce's Itinerary
Dr. Pierce travels across the country speaking and training church leaders and pastors. Attend the next event in your area or be apart of our next Life Changing event.

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Dr. James Pierce has many dynamic resources for leadership training and more.
Click to here view his best selling products.
Click to view his best selling products. 

 


   

 

 

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