Agape Association of Communities 

Name of Spiritual Center/ Organization/ Group*
Name of Founder/ Minister/ Facilitator*
Email Address*
Phone*
Address*
City*
State*
Zip Code*
Current Relationship w/ or Connection to Agape*
Statement of Intention for AAOC Membership
(Reason for interest in active membership.)*
.
Spiritual Centers/ Ministers/ Study Groups Only
Years Licensed as Professional Practitioner
Years Licensed as a Minister
Year of Ministerial Ordination
Additional Professional Credentials
How Often Are You Committed to Donate Financially
(1x week; 1x bi-week; 1x month; etc.)
Spiritual Centers Only - Board of Trustee Information
Number of Board/ Core Council Members
Name of Board President
Phone
Email
Facebook
Address
City
State
Zip Code
Name of Vice President
Name of Secretary
Name of Treasurer
Remaining Trustees:
Email Address*
Confirm Email Address*

Fields marked with '*' are required.