APPLICATION

FOR RECOGNITION AS AN AFFLIATED/PARTNER CONGREGATION OR ORGANIZATION
This is for FiFNA and not an application to the Missionary Diocese of All Saints, ACNA. For MDAS information contact the FiFNA office for more information.

Print and complete the following form.

FOR RECOGNITION AS AN AFFLIATED/PARTNER
CONGREGATION OR ORGANIZATION

To the Council of Forward in Faith, North America:

I / we, the undersigned, do certify that _________________________________
(Name of Congregation or Organization)

has adopted the Declaration of Common Faith and Purpose by a resolution
dated ____________________, a copy of which is attached. We also certify
that all clergy have signed individually their own copies of the Declaration
of Common Faith and Purpose.

On behalf of said Congregation, I / we therefore request that the Council of
Forward in Faith, North America recognize it as:

__* a Member Affiliated Congregation/Organization of Forward in Faith, North
America with seat, voice and vote in the Annual Assembly.

__ *a Partner Congregation/Organization of Forward in Faith, North America
with seat and voice in the Annual Assembly

Done this _____________________ day of _________________, A.D.
______________

(signed) __________________________________________________________

(please type or print name) ________________________ (title)
____________________

(signed) __________________________________________________________

(please type or print name) ________________________ (title)
____________________

(signed) __________________________________________________________

(please type or print name) ________________________ (title)
____________________

[use additional sheet if necessary]

Accompanying this application is our Membership contribution in the
following amount:

__Leadership Support-$1000.00 per year

__Faith Support-Large Parish-$500.00 per year

__Faith Support-Small Parish-$250.00 per year

__Sustaining Support-$1.00 per member ($100.00) minimum

Congregation or Organization representative** for this Application Process
____________________________
name
____________________________
address
____________________________
phone
____________________________
e-mail

*Anglican Congregations and Organizations in communion with the Archbishop
of Canterbury and/or the Anglican Communion, or who are in the Anglican
Church in North America, including but not limited to the Missionary Diocese
of All Saints, or who have an intercommunion agreement with Forward in Faith
may be voting members of the Annual Assembly. All other Anglican
Congregations and Organizations will be partners with seat and voice in the
Annual Assembly.

**This person will monitor the progress of the Application and is asked to
keep the Congregation or Organization leaders informed on the Application
status. This person will also be given a user name and password to access
the official information on the FIFNA website for the Congregation or
Organization. This will include responsibility for updating the
Congregation or Organization listing clergy, staff, service times, and other
official information. This person will also annually certify the
Congregation or Organizations continued adherence to the Declaration of
Common Faith and Purpose, Annual financial support, and most current contact
information.