Note: This is not an interactive form. To fill out the application, cut and paste the text into an email, fill it out and then send it to interfaithpeace@aol.com. Thank-you!
- Application -
Your Title and Name
Will Go Here
Professional Title and Name:
Address: (For membership purposes only. Your home address will not be listed on the website unless you wish us to list it.)
Would you like your address listed on your site? Yes/No
Area of Residence:
Locations served:
Ordained or empowered by:
Date Ordained:
Professional Memberships:
Education:
I Believe...
Services provided:
Specializing in:
Fees:
To contact: Telephone:
Website:
Additional Information:
Brief excerpts from testimonials:
Pledge
- I pledge to respect and honor all people regardless of race, religion, national origin, faith practices, personal beliefs, and sexual orientations.

YES / NO
- I am willing to provide personal and/or professional references upon request.

YES / NO
- I promise that the information provided is true and correct to the best of my knowledge.

YES / NO
- I agree to enter into this covenant of professionals, and will uphold the highest standards of integrity, honor and professionalism. I am joining as a member of this esteemed organization in the spirit of brotherhood/sisterhood, peace and tolerance for all, and with a commitment to interfaith respect. My personal profile information is forthright and honest.

YES/NO
- I am not joining in order to proselytize my own personal beliefs, but to honor the individual beliefs and spirituality of others. If any of the beliefs and requests of my clients interferes with my own personal standards, I will politely decline their business and refer them back to InterfaithOfficiants.com so they may choose another Officiant who can help them.

YES/NO
Signature and Date:___________________________________________________________
Check-list: Have I enclosed:
- Thorough and accurate contact information?
- Copy of Certificate of Ordination?