PERSONAL INFORMATION 

First Name | Middle Name | Last Name 

TItle

Home Address (City | State | ZIP)

Date Of Birth (MM/DD/YYYY)

CONTACT INFORMATION 

Mobile Phone: (Area Code + Number)

Home Phone: (Area Code + Number)

Work Phone: (Area Code + Number)

Email Address 1: 

Email Address 2: 

Social Media: 

Please provide your name / social handle for each of the following platforms. If you don't have an account on that platform, type the name and then N/A (I.e. - Instagram - N/A)

Personal Website: 

Facebook: 

Instagram: 

X/Twitter: 

WhatsApp: 

Other: 

Other: 

MINISTRY INFORMATION

Church/Ministry Name: 

Pastor Name: 

Pastor Title: 

Church/Ministry Address: 

City | State | ZIP 

Office Phone: 

Church/Ministry Website: 

How long have you served at this church/ministry (mm/dd/yyyy)?

What roles have you served there? 

Please provide a list of other churches (and dates) you've attended and served.

SPOUSE INFORMATION

First Name | Middle Name | Last Name

Title: 

Home Address: 

City | State | ZIP 

Mobile Phone: 

Date of Birth (MM/DD/YYYY): 

Email Address: 

Wedding Anniversary: 

Position In Ministry (if any):

CHILDREN INFORMATION

First Name | Last Name

Date Of Birth (MM/DD/YYYY)

Please list each child on a separate line. 

ORDINATION / CREDENTIAL INFORMATION

Name of Ordaining Organization: 

Pastor Name/Title: 

Church/Ministry Address: 

City | State | ZIP 

Date of Ordination (MM/DD/YYYY)

Beyond providing the complete information, please provide a list of each child's name information below. 

Resume / Curricula Vitae

Ordination Credentials 

AGREEMENT OF UNDERSTANDING 

I, ____________________________________________, have prayerfully and carefully read through the Application and believe in my heart, for this season of my life, that God has developed a VOICE OF WISDOM INNER CIRCLE as a place for covering and community. 

As a result, while understanding that I still have a spiritual and practical obligation to my local church, I understand the role that Pastor Christopher J Harris will play in life as a SPIRITUAL MENTOR and that will never conflict with the local assignment nor supersede the assignment that you have accepted or will accept in your local church (if applicable). Otherwise, I understand that The VOICE OF WISDOM INNER CIRCLE will be a place of spiritual impartation for my betterment and development and will be a place of official accountability for my spiritual, ministerial, professional, and relational health and wellness. 

What do you expect to receive from THE VOICE OF WISDOM INNER CIRCLE? 

What type of information do you desire to receive from THE VOICE OF WISDOM INNER CIRCLE?

What initiatives would you like to see planned for THE VOICE OF WISDOM INNER CIRCLE? 

What are your expectations for frequency of communication? 

Have you experienced any challenging ministry situations that caused you to leave or pull back from ministry? 

Do you currently have a Therapist (or Counselor or Psychologists) that you are actively being served by?