Our Daily Bread, Missions Organization

Renewal Application for Charter

 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

Name your Charter is in:

__________________________________________________________

Date_____________

1. Personal Information:

A. Name in Full

Last_________________First_____________ MI ______

B. Mailing Address _______________________________________

City__________________ State __________ 

Zip _________-________

C. Phone: 

Home __________________________ 

Work __________________________ (Optional)

In case of Emergency _____________________________

D. Email Address ______________________________

2. Charter Information:

                    Original date of Charter: ______________

                    Original Name of Charter: ____________________________

                    Purpose of Charter: __________________________________

3. Names of Leadership:

                   1) Name in Full

                    Last_________________First_____________ MI ______

                    Mailing Address _______________________________________

                     City__________________ State __________ 

                     Zip _________-________

                    Phone: 

                    Home ________________________ 

                    Work ________________________ (Optional)

                    Email Address ______________________________

                    2) Name in Full

                    Last_________________First_____________ MI ______

                    Mailing Address _______________________________________

                     City__________________ State __________ 

                     Zip _________-________

                    Phone: 

                    Home ________________________ 

                    Work ________________________ (Optional)

                    Email Address ______________________________

                    3) Name in Full

                    Last_________________First_____________ MI ______

                    Mailing Address _______________________________________

                     City__________________ State __________ 

                     Zip _________-________

                    Phone: 

                    Home _______________________ 

                    Work _______________________ (Optional)

                    Email Address ______________________________

4. Goals of Ministry for the next year:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

5. What we can do to help you accomplish what God wants you to accomplish:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Certification: I, the undersigned have read and agreed to your Articles of Faith.

Signature ________________________________________

Date ______________________

 Fee's: $36 or ($75 School) + $5.00 S&H for US & Canada ($16.00 outside of US & Canada) Annual for Our Daily Bread, Missions Charter

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