Our Daily Bread, Missions Organization
Application for Charter
Enclose a copy of your License with application. (Word doc)
Are you applying for: (check appropriate)
_____ Church Charter
_____ Standard School Charter
_____ ODB, Affiliate School Charter ($75, plus registration fee for each student)
_____ Counseling Center Charter
_____ Fellowship House or Transitional House Charter ____
Day Care ____
Adult Foster Care____
Child Foster Care____
_____ Prison Ministries Charter (Area: ___________________ )
_____ Missions Charter (Country: ________________)
_____ Food Pantry
_____ Foster Care Charter
_____ Rescue Mission
_____ Youth Center
Tell us the name of the church or organization you want:
__________________________________________________________
Date_____________
1. Personal Information:
A. Name in Full
Last_________________First_____________ MI ______
B. Social Security Number _______-_____-_________
C. U.S. Citizen Yes ___ No ___ Country of Citizenship if no________
D. Mailing Address _______________________________________
City__________________ State __________
Zip _________-________
E. Phone: Home _________________
Work ________________ (Optional)
F. Birth date ______________
Birth Place ______________________
G. Male___ Female ____
In case of Emergency _________________
H. Email Address ______________________________
2. Christian Life
A. Briefly on a separate piece of paper, write your testimony.
B. Present Church Membership or affiliation,
Name of Church or Membership ___________________________
Pastors Name ______________________
Address_______________________________________________
3. Education:
Grade School _____________________________________________
High School _____________________________________________
Bible School _____________________________________________
College ______________________________________________
5. References:
1) Name _______________________________________
Address, City, State, Zip ___________________________________
2) Name _______________________________________
Address, City, State, Zip ___________________________________
3) Name _______________________________________
Address, City, State, Zip ___________________________________
Pastor _________________________________________
Address, City, State, Zip ___________________________________
6. Church Affiliation:
Name of church, organization, or charter organization you work for:
__________________________________________________
Address of church or organization:
__________________________________________________
E-Mail Address _____________________________________
Phone ( ) __________-____________________
7. Are you a Licensed Minister with ODB or going through the certification studies?
Yes _____ No _____
8. If not licensed with ODB, who are you currently licensed with?
________________________________________________ Please send copies of documentation ( we may require you to transfer your license).
Certification: I the undersigned have read and agreed to your Articles of Faith.
Signature ________________________________________
Date ______________________
Fee's: $36 or ($75 School) + $4.95 S&H Annual for Our Daily Bread, Missions Charter
Print & Mail To:
Our Daily Bread, Missions/ RPM
P.O. Box 930615
Wixom, MI 48393-0615