The Christian and Missionary Alliance in Canada

CMACAN.ORG

This section of the website has not yet been fully updated to the newer page format

Thank you for your interest in the online Workers Area of The Christian and Missionary Alliance in Canada! For confidentiality and security reasons, we ask that you kindly fill out the following form for our records.
New worker profiles are usually activated within 72 hours of application.
Upon completion of this registration form, the following will happen:

•	You will receive an email asking you to confirm your email address as entered below.
•	Once you have confirmed, your application will be processed within 72 hours.
•	You will receive an email notification of acceptance if approved.

(* - indicates required field)
(for Individual Registrations, First and Last Names are Required)
(for Church Registrations, Church Name is Required)
(for Secure Registrations, No Name is Required)

Registration Type:


* Pastor Rev. Dr. Mr. Mrs. Miss Ms.
* First Name:
* Last Name:
Church Name:


	IMPORTANT NOTE: This option is only available for those who have been pre-authorized for secure registration by The Christian and Missionary Alliance in Canada National Ministry Centre.
* Secure Email:
* Requested User Name:	*This username should probably resemble your last name (ex. dsmith, rchapman).
* Requested Password:	*This password should be between 5-10 characters in length.
* Confirm Password:
Comments:

* Address:

* City:

* Province/State:

* Postal/Zip Code:

Postal/zip code unavailable in my country.

* Country:

* Phone:

Ext:

* Email:

* Confirm Email:

Please include me in your mailing list:

Preferred Email Type: Text and Graphics Plain Text

Website:

*Please enter as "www.sitename.com" - no "http://" required.

Photo:

*If desired, for use beside your member information in the community directory. Photo will be automatically resized. PLEASE - ONLY .JPG FILES ARE ACCEPTABLE. PORTRAIT ORIENTATION IS RECOMMENDED.

Brief Bio:

*A Scripture or a few words/sentences that would best describe your life and ambitions.

*Requested User Name:

*This username should probably resemble your last name (ex. dsmith, rchapman).

*Requested Password:

*This password should be between 5-10 characters in length.

*Confirm Password:

Requested Privacy Level:

*The amount of personal information you would like to be made available to other members of the password-protected Community.

Referral Information:

*How did you learn about the The Christian and Missionary Alliance in Canada website?

Comments:

Disclaimer: The C&MA in Canada is not responsible for the content of external internet sites.

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