TPH International Pastoral Alliance Application

3635 Dan Morton Dr - Dallas, TX USA 75236
Phone: (214) 331-0954
Email: phipa2@tdjakes.org

Step 1 of 6

Please submit a copy of your Church Mission and Vision Statement. Once the application is reviewed and accepted you will be contacted requesting your first offering / tithes from your monthly income to complete the membership with the PHIPA Alliance.

All payments must be made payable to: PHIPA
Email
Enter Email Confirm Email

Personal Profile
Name
First Last
Birth Date
MM slash DD slash YYYY
Primary Phone Number
Alternate Phone Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you married?*
- Yes
- No
Spouse Name
First Last
Spouse Email
Spouse DOB
MM slash DD slash YYYY
Wedding Anniversary
MM slash DD slash YYYY

Are you Bi-lingual?
- Yes
- No
Language(s)
Education History
Please list your educational history below. To add more than one, click on the plus sign.
College Major / Degree or Certificate (ex. BS or MCEE) Area of Specialty (ex. Information Technology)

Church Information
Church Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Church Email
Church Website
Church Phone
Alternate Phone
Church Fax
Pastor Anniversary
MM slash DD slash YYYY
Year Church Established
Membership Size
Number of Staff and Leadership
Church tax exemption
- Yes
- No
501(c)3 certification
Administrative Assistant Name
Administrative Assistant Email
Administrative Assistant Office Hours

Additional Information
What are your expectations of this Alliance that you want as a Senior Pastor?
Are you a part of another Alliance or an Assembly that would have conflicts with you joining and/or participating with joining this Alliance?
Church Vision and Mission Statement
Church Outreach, Ministries and Auxillaries
How did you hear about PHIPA?

Email
This field is for validation purposes and should be left unchanged.