India Missions Association
MEMBERSHIP APPLICATION FORM
(Please read the GUIDELINES FOR MEMBERSHIP before filling up the application
form)
India Missions Association, 5-47, Kndanpally Village, Near Vardhana School
Godumakunta Panchayat, Keesara Mandal, R. R. Dist
Hyderabad- 501301, Andhra Pradesh, India.
Phone: 91-40- 64508536
E-Mail:ima@imaindia.org, Website: www. imainida.org
Website: www.imaindia.org
India Missions Association Membership Application Form
India Missions Association
INDEX
MEMBERSHIP APPLICATION FORM
Page No.
1. General
1
2. Registration Details
1
3. Staff Details
1
4. Details about Managing / Executive Board /
Committee / Trustees
2
5. Nature of Ministry
3
6. Reference
4
7. Declarations
5
8. Attestation
5
9. Appendix I
Mission Stations / Field Offices
6
10.Appendix II
Branch Offices / Promotional Offices
7
11.Appendix III
Category of People being ministered
8
12.Appendix IV
Places of Ministry
9
13. Appendix V
Purpose of Ministry
10
India Missions Association Membership Application Form
MEMBERSHIP APPLICATION FORM
A. GENERAL:
Name of the Mission /
organization / Institution /
Church / Diocese / Church
Mission Board /
committee:
Denomination /
Affiliation / Sister Orgn:
Name of the Chief Executive /
General Secretary / Executive
Director
Year of Formation
Mailing Address:
(Include Door No, Street
Name & Pin code)
Telephone(s):
Fax:
E- Mail:
Website:
B. REGISTRATION DETAILS:
AUTHORITY
NUMBER
DATE / YEAR
STATE / CIRCLE
Registrar of Societies
Trust Registration
Registrar of Companies
Commissioner of Income
Tax (PAN number)
Ministry of Home Affairs
(FCRA number)
C. STAFF DETAILS:
CATEGORY OF STAFF
Missionaries
Pastors / Faculty
Evangelists
Tent makers / Bi vocational
Ministers
Administration / Office /
Promotional
Others
TOTAL
PAID
1
VOLUNTEER / ASSOCIATE
India Missions Association Membership Application Form
Relationship
with other
Board
members1
Residential Address
Designation
in the
Organization
Name in Full
Occupation /
Employment
S.No.
D. DETAILS ABOUT MANAGING / EXECUTIVE BOARD / COMMITTEE / TRUSTEES
1
2
3
4
5
6
7
8
9
10
1
Specify if they are family members, generally no two members of the same family is encouraged to be
office bearers of the board
2
India Missions Association Membership Application Form
E. NATURE OF MINISTRY
(Please tick () which ever best describes the nature of your ministries)
5. SOCIAL DEVELOPMENT
1. CHURCH PLANTING
a. Relief
a. Cross Cultural
b. Rehabilitation
b. Mono Cultural
c. Literacy
c. Denominational
d.
Primary Healthcare units
d. Independent / Indigenous
e. Hospitals
e. Small Groups – Cells
f. Child Care Centres
Church, House Churches
g. Orphanages
etc.,
h. Poverty Alleviation
f. Any other – Specify
i. Community Development
j. Micro Enterprises
2. EVANGELISM
k. Social Action Program
a. Mass Evangelism
l. Old Age homes
b. Friendship
m. Educational Institutions
c. Door to Door
n. Hostels & Homes
d. Mail / Correspondence
o. Rehab Homes for Addicts /
e. Open Air/ Street Preaching
Specially abled peoples etc.,
f. Any other – Specify
p. Refugee Camps / Centres
q. Any other – Specify
3.
a.
b.
c.
d.
e.
f.
g.
h.
i.
TRAINING
Missionary /Evangelists
Pastors / Lay leaders
Tent Makers / Bivocational Ministers
Training
Vocational Training
Leadership Training
Discipleship Training
Counselling Training
Management Training
Any other - Specify
4.
a.
b.
c.
d.
e.
f.
g.
h.
i.
J
RESEARCH
People Groups
Geographical Regions
Linguistic
Mission Trends
Church Growth
Social Trend
Response to Evangelism
Missiology
Theology
Any other – Specify
6.
a.
b.
RESOURCE /
FACILITATION
Missionary Salary Support
Finance Support – Projects
/ Programs
c. Intercession & Prayer
Mobilisation
d. Missionary Welfare
Support / Plans
e. Rest & Retreat Homes /
Centres
f. Counselling / Debriefing
Centres
g. Evangelism Tools &
Literatures
h. Training Modules /
Resources
i. Project Consultancy
j. Management Consultancy
k. Capital Investment Support
l. Loans & Advances
m. Partnership & Networking
n. Any other – Specify
3
India Missions Association Membership Application Form
7.
a.
b.
c.
d.
e.
f.
TRANSLATION
Bible
Devotional Books
Training Materials
Missiological Books
Evangelistic Literature
Any other – Specify
8.
CREATIVE
MINISTRIES
Coffee Shops
Counselling Centres
Book Shops / Literature
Sale
Gym / Sports Centres
Any other – Specify
a.
b.
c.
d.
e.
9.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
MEDIA
Radio
Television
Films
Literature
Internet/Web
Audio
Video
Arts and Entertainment
Ethno Musicology / Music
Any other – Specify
No.
F. REFERENCE
Give names of three National / State level Christian leaders, (One of them should be IMA
member) who are not related to you and who can give a confidential reference about your
organization.
Name
Designation Organization
Address (in BLOCK
letters)
1.
E-Mail:
Phone:
2.
E-Mail:
Phone:
3.
E-Mail:
4
India Missions Association Membership Application Form
Phone:
G. DECLARATIONS
Yes
No
We subscribe to the IMA’s statement of faith
We abide by the annual membership contribution
We abide by the best practices of Ministry, Leadership &
Management as advocated by IMA.
We attest that all the information provided in the application is true to
the best of my knowledge.
Place:
Date:
Signature of Chief Executive
5
India Missions Association Membership Application Form
Appendix I
No
Addresses of Mission Stations / Field offices
1
2
3
4
5
6
7
8
Note: Please photocopy and use additional sheets if necessary
6
Number of
workers
Year of
opening
India Missions Association Membership Application Form
Appendix II
No
Addresses of Branch offices / Promotional
offices
1
2
3
4
5
6
7
8
Note: Please photocopy and use additional sheets if necessary
7
Number of
workers
Year of
opening
India Missions Association Membership Application Form
Appendix III
Category of Peoples being ministered
(Please tick () which ever applies to you)
1.
a.
b.
c.
d.
e.
ETHNIC
Tribal
High Caste
Backward Classes
Dalits / Scheduled castes
Any other – Specify
4.
a.
b.
c.
SOCIO ECONOMIC
Poor
Middle Class
Elite
Rich
Refugees
Diaspora
Specially Abled peoples
i.
Special Groups: Singles /
Women / Men / Families
Any other – Specify
j.
3.
a.
b.
c.
d.
e.
f.
j.
5.
a.
b.
c.
d.
e.
f.
g.
h..
i.
j.
k.
l.
m.
n.
o.
VOCATIONAL
Students
Professionals
Traders
Politicians
Sportspeople
Bureaucrats
Business people
Artists / Artiste
Media persons
Farmers / Land owners
Industrial Workers
Unskilled labourers
Skilled labourers
Uniformed Personnel
Any other Specify
d.
e.
f.
g.
h.
i.
(You may add a separate sheet)
2.
a.
b.
c.
d.
e.
f.
g.
h.
RELIGIONS
Animists
Atheists
Philosophical Hindus
(Brahmins)
Christian Sects
Jains
Muslims
Popular Hindus
Sikhs
New Age movements /
Guru Movements
Any other – Specify
Marginalized Groups like
Lepers, Eunuchs, Prisoners etc.,
GENERATIONAL
Children Below 13 years
Teenagers 13 – 19 years
Youth 20-35 years
Middle Aged – Above 35
years
Elders – Above 60 years
Any other Specify
8
India Missions Association Membership Application Form
Appendix IV
Places of Ministry
(Please tick () wherever you have an office or a worker based)
North India
North Eastern India
Bihar
Chandigarh (U.T.)
Delhi (U.T.-NCT)
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Punjab
Rajasthan
Assam
Arunachal Pradesh
Meghalaya
Nagaland
Manipur
Mizoram
Sikkim
Tripura
Uttar Pradesh
Uttaranchal
Madhya Pradesh
Chhattisgarh
South India
Overseas
Tamil Nadu
Andaman &
Nicobar (U.T.)
Andhra Pradesh
Pondicherry (U.T.)
Karnataka
Kerala
Lakshadweep (U.T.)
Europe
Gulf
Central India
Eastern India
South Asia
South East Asia
North America & Canada
Pacific Regions
Central Asia
North East Asia
Orissa
West Bengal
Africa & West Indies
South America
Western India
Any Other (Specify)
Daman & Diu (U.T.)
Dadra & Nagar
Haveli (U.T.)
Goa
Gujarat
Maharashtra
9
India Missions Association Membership Application Form
Appendix V
Purpose of Ministry
a) Please explain the vision of the organisation’s ministry in not more than two sentences?
b) Please write the two most important objectives of your organisation?
c) Please write three goals of your organisation for the next five years?
10