SCM Application Form

First Name

Last Name

Email

Phone

Address

Address (Continued)

City

State StateALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code

Church Name

Pastor's Name

Pastor's Email

Statement of Faith Statement of Faith I have read and agree to the Baptist Faith and Message

Application Fee Application Fee I understand that I will be redirected to the CBA giving page to pay a $50 application fee.