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COVENANT PARTNERSHIP APPLICATION

For Local Churches, Para church Ministries, Marketplace Ministries, and

Networks

Church/Ministry  Affiliation  with  Hakeem  Collins  Ministries/Champions  International  is  based  upon  

the  mutual  desire  to  develop  relationships  in  an  apostolic  network  of  churches/ministries  for  the  

purpose  of  New  Testament  ministry  including:  fellowship,  ministry  equipping,  church  planting,  and  

evangelism  and  missions  outreach.  CNI  provides  covering,  counsel,  and  spiritual  accountability,  but  

is  not  connected  legally  or  involved  in  the  governing  of  local  churches/ministries,  other  than  to  be  

available  upon  request  to  set  a  church/ministry  in  order,  and  speak  into  it  according  New  

Testament  five-­‐fold  ministry  and  relational  structure.  

 

APPLICATION REQUIREMEMENTS

1. Church/Ministry Vision - Enclose  a  copy  of  the  vision  and  any  promotional  material..  

2. Recommending Pastor - If  you  are  already  credentialed,  omit  this  requirement.  

Pastor:  Telephone:  

Address:  

City,  State  &  Zip:  

3. $100 Application Fee -­‐  Includes  Annual  Fee  for  the  first  calendar  year  of  affiliation.  

Make  check  payable  to  Champions  International  Ministries  or  Hakeem  Collins  

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Church/Ministry  Name:  

Street  Address:  

City,  State,  Zip:  

Telephone:  Fax:  

Avg.  Attendance:  Web  Page:  E-­‐mail:  

Senior  Pastor/Ministry  Leader:  

Address:  

City,  State,  Zip  

Telephone:  E-­‐mail:  

___________________________________________________________________________  

___________________________________________________________________________  

Senior  Pastor’s/Ministry  Leader’s  Signature  Date  

Return application with enclosures to:

Champions  International  Ministries,  P.O  BOX  305  Wilmington,  DE  -­‐  (267)  798-­‐6389  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 APPLICATION REQUIREMENTS

1. A DEFINITE CALL TO MINISTRY

*  Certificate of Ministry –  Call  to  Serve  Under  a  Pastor  in  Local  Church  Ministry  

*  License Or Ordination –  Call  to  the  Five-­‐fold  Ministries,  or  other  Ministries  

*  Membership –  Only  for  Ministers  Licensed  or  Ordained  in  a  Denomination  which  does  not  

permit  them  to  be  credentialed  with  HCM  (Include  a  copy  of  the  current  credential  with  the  

application.)  

*  Church or Ministry Affil iation –  Churches/Ministries  called  together  for  covering,  

fellowship,  and  kingdom  ministry  purposes.  

2. ACTIVE SERVICE IN MINISTRY PROPORTIONAL TO THE CREDENTIAL

Level  of  Ministry  Position/Experience  Will  in  part  Determine  the  Level  of  Credential  

3. APPLICATION FORM COMPLETED AND RETURNED

4. $75 APPLICATION FEE

Includes  the  annual  $50  credential  fee  for  the  first  year  (the  fee  is  refundable  in  the  unlikely  event  

of  denial).  

5. TWO RECOMMENDATIONS ON THE ENCLOSED FORMS:

(1)  Your  current  local  church  pastor  or  ministry  you  are  serving.  

(2)  A  person  who  has  known  you  well  for  at  least  3  years  (a  Minister,  friend,  employer,  etc.).  

Important:  Can  Not  Be  A  family  Member.  

IMPORTANT  NOTE:  Recommendations  must  be  turned  in  to  HCM  directly  by  person  completing  the  

form.  

6. COMMITMENT TO WALK IN AGREEMENT

Signed  commitment  on  the  Application  to  walk  in  agreement  with  the  HCM  

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Leadership,  Statement  of  Faith,  Biblical  standards  for  personal  life  and  ministry.  

 

APPLICATION FORM

1.  Attach  a  CURRENT  PHOTO  (head  and  shoulders  only).  If  you  and  your  spouse  are  both  applying,  two  

separate  applications  must  be  completed.  

2.  Please  attach  membership  fee  payment  to  this  form.  Application  will  not  be  processed  without  payment.  

*  REQUIRED  *  

ATTACH  A  RECENT  TO  APPLICATION  

HEAD  AND  SHOULDERS  

Please  check  method  of  payment  -­‐  Money  Order  or  Check  should  be  payable  to  

CHAMPIONS  INTERNATIONAL:  

MasterCard   Visa   Money  Order   Check  #  ____________________  

Card  Number  ____________  ____________  ____________  ____________  

Amount  $______________________  Exp.  Date:  _________/_________  

Signature:  ______________________________________________________  

3.  PLEASE  TYPE  or  PRINT  CLEARLY.  If  a  question  does  not  apply,  type  or  print  DNA.  

4.  I  am  applying  for  (please  check  one):   Ministry  Certificate   License   Ordination  

Membership  

PERSONAL INFORMATION Please print or type information.

Mr./Mrs./Ms.__________________________________________________________________________

Name (last) (first) (middle) (maiden)

_____________________________________________________________________________________________ Apt.

____________________

Present

Address_________________________________________________________________________________________________

__________________________________________________________________________________

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City State Zip

Phone: (_______) ________- ________Website:_____________________________________________________

Other - List: (_______) __________-___________ E-mail Address:

_________________________________________________________

US Citizen: Yes No If no, Country of Citizenship: _______________________ If  permanent  resident  alien,  please  

enclose  copy  of  green  card.  

Sex: Male Female Date of Birth: _______/_______/_______ Age: __________

Spouse: Date of Birth: _______/_______/_______ Age: __________

Marital Status: Engaged*   Married   Single   Divorced**   Separated**  

* If you are currently engaged, please send us written confirmation once you are married so we can update our

records.

** If divorce or separation has occurred in the past 3 years, please attach complete details typed on separate

sheet.

Name of Spouse or Fiancé (e):

____________________________________________________________________________________

P.O  BOX  305,  WILMINGTON  DE  19899  

Phone:  (267)  798-­‐6389  

Email:  info@hakeemcollinsministries.com   www.hakeemcollinsministries.com  Date of marriage, present or proposed:

____________________________________________________________________________________

Is your spouse or fiancé (e) saved? Yes No

Is your spouse or fiancé (e) filled with the Holy Spirit with the evidence of speaking in tongues? Yes No

Is your spouse or fiancé (e) in full support of your call to ministry? Yes No

If not, explain why?

________________________________________________________________________________________________________

__________________________________________________________________________________

________________________________________________________________________________________________________

__________________________________________________________________________________  

EDUCATIONAL HISTORY

Circle highest level attained: 1 2 3 4 5 6 7 8 9 10 11 12 GED Vocational/Technical: 1 2

College: 1 2 3 4 Bible School Associate Bachelor Master’s Specialist Doctorate

List all higher educational institutions attended and degree earned:

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Name of School Dates Major Diploma/Degree

________________________________________________________________________________________________________

__________________________________________________________________________________

CHURCH AFFILIATION AND REFERENCES Print or type the name of the church which you currently pastor or are a member of. If you are a member of CIM, your

member number is

_____________________________________________________________________________________________

(________)____________________________________________________________________________________

Name of Church Phone

________________________________________________________________________________________________________

____________________________________________________________

Street

Address_________________________________________________________________________________________________

____________________________________________________________

City State Zip

________________________________________________________________________________________________________

____________________________________________________________

Senior Pastor Denomination/Organization

Web Site of above Church: _______________________________________________ E-mail address:

_________________________________________________________________________________

How long have you attended this church? _______________ If less than one year, list the name of the church you

formerly attended, including address, phone number and senior pastor’s name. Also, list how long you attended and

reason for leaving:

________________________________________________________________________________________________________

__________________________________________________________________________________

________________________________________________________________________________________________________

__________________________________________________________________________________

Name:  ________________________________________________

 

PERSONAL / MINISTRY CHARACTER REFERENCES Please identify two references other than family members who have known you for more than a year.

____________________________________________________________________________________

Name Street Address Apt.

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____________________________________________________________________(______) ________________

City State Zip Phone

____________________________________________________________________________________

Name Street Address Apt.

____________________________________________________________________(_______) ________________

City State Zip Phone

YOUR SPIRITUAL PILGRIMAGE

Date you were saved: ______/______/______ Were you raised in a Christian home? Yes No

Denomination/Organization:

_______________________________________________________________________________________

BRIEFLY relate your conversion experience:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

________________________________________________________________________________________________________

____________

Date you were baptized by immersion: ______/______/______

Date you were baptized with the Holy Spirit with the evidence of speaking in tongues: ______/______/______

Understanding that a minister of the Gospel must maintain the highest moral and ethical standards; do you

feel there is any area of your personal life that would hinder your ministry at this time? Yes No

If yes, please explain:

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

_________________________________________________

Do you currently use tobacco, alcohol or illegal drugs? Yes No If so, please explain on a separate

sheet.

Are you familiar with the ministry of Hakeem Collins Ministries, Inc.? Yes No

Have you read any of his material, books, listened to his tapes, or watched any of his video or follow him on

social media? Yes No

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YOUR VISION

In an effort to understand your vision concerning your ministry, please attach a one-page, typed essay.

 

YOUR MINISTRY

Do you have a definite call of God on your life to enter the full-time ministry? Yes No

If yes, please explain on a separate sheet.

In an effort to understand your current involvement in ministry, please attach a one-page typed essay of

explanation.

Are you presently or have you ever been licensed or ordained? Yes No

If so, please list the level and denomination/organization and date of credential; and, please attach a

copy:_______________________________________________________________________________

If you are going to leave or have left the denomination/organization where credentialed, please explain

why:_________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_______________________________________

Identify the area(s) of the five-fold ministry, according to Ephesians 4:11, in which you are called by God:

Apostle____Prophet____Evangelist____Pastor_____Teacher

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_______________________________________

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YOUR INTEREST IN HAKEEM COLLINS MINISTRIES

Do you agree with the Hakeem Collins Ministries (HCM) Statement of Faith? Yes No If you disagree

with any point, please explain on a separate sheet of paper.

Why do you want to join HCM and how can HCM help you in your ministry?

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_________________________________________________________

 

How did you hear about Prophet Hakeem Collins?

_____________________________________________________________________________________________

___________________________________________________________________________

Have you previously submitted an application to HCM? Yes No If so,

when:________________________________________________________________________________________

___________________________________________________________________________

STATEMENT OF TRUTH

I understand all items submitted to HCM as part of this application process become the permanent

property of HCM and will not be returned.

This application will be held in confidence. Only those persons with a need to know will review it. I

hereby grant HCM and its leadership permission to verify the information provided on this

application including references, recommendations and back ground checks. I hereby state that all

the information contained on this application is correct and true. If HCM is notified that any of the

information contained on this application is false; it will be grounds for immediate cancellation of

application procedure and/or revocation.

__________________________________________________________________________________

Signature of Agreement Date

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HCM MINISTER’S COVENANT

Upon acceptance of ministerial credentials from Hakeem Collins Ministries (HCM), I hereby agree

to covenant based on the following: To uphold the biblical standards of holiness and Godly conduct

that are set forth in the Word of God governing ministers, in my personal life as well as my

professional life; To submit to the leadership and covering provided by HCM, and to receive the

wisdom, counsel and restoration available through HCM leadership; To commit to the HCM

Statement of Faith and to faithfully minister sound doctrine; To support HCM with my prayers,

financial support with tithes and offerings and with my presence at all meetings and functions

provided by the fellowship whenever possible; To maintain a level of excellence and quality of

ministry that will enhance and be an asset to Hakeem Collins Ministries; and

I prayerfully and willfully submit this application this the _______ day of __________________,

20______.

_____________________________________________________________________________________

___________________________________________________________________

Signed:  

Name:  _____________________________________________________________