SMI Affiliate Registration

Please read our Statement of Belief before completing this form. Contact us if you have any questions about the statement before you apply. Click School Ministries Statement of Belief here to read the Statement of Belief.

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About School Ministries Mission

Supporting our Mission(*)

YesNo Invalid Input

Does your program support School Ministries and its mission?

Our Statement of Belief(*)

YesNo Invalid Input

Does your program agree with the School Ministries Statement of Belief?

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About Your Programs

Name of Your Program(*)

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Your Name(*)

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Program Address (Street, City, State, Zip)

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Your Email(*)

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Phone(*)

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Program Locations

YesNo Invalid Input

Does your Released Time Program have a separate location for administration? If so, please enter the location information below.

Contact Name for Other Location

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Your Address (Street, City, State, Zip) for other location.

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Email (for other location)

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Phone (for other location)

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About Your Program Locations

How Many Schools Served(*)

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How many schools does your Released Time Program Serve?

Addresses of Locations

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Legal Information

Does your Released Time Program?

Written Consent(*)

YesNo Invalid Input

Get annual written consent from parent with participating students?

Funding Sources(*)

YesNo Invalid Input

Receive funding from 100% private donations (i.e.: individuals, churches, business – but not governments)?

Off School Property Use(*)

YesNo Invalid Input

Use completely off School or Governmental property. This excludes parking spaces in private open public parking adjacent to the school.

Insurance Status(*)

YesNo Invalid Input

Have adequate insurance? Every program should have General Liability, Director and Officer’s and Student Accident?

Background Checks(*)

YesNo Invalid Input

Perform a back-ground records check on every person that is directly involved with students including staff, teachers, volunteers and bus drivers?

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Your Denomination

We are proud of supporting Christian Released Time Programs from multiple denominations, grades, and program locations. What denominations are actively supporting your RT program either financially, staff, board members and volunteers?

Other Denomination

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Payment and Submission

SMI reserves the right to terminate membership if a program is engaged in either illegal RT practices, or activities contrary to the Bible. Payment does not guarantee acceptance into the School Ministries Membership Program, but if your program is not accepted, your money will be refunded.

Our membership year is a calendar year. If you join mid-year, please contact the office for pricing and a special offer.

If you choose PayPal you will be redirected to PayPal to make your payments. You do not need a PayPal account to pay online. PayPal accepts all major credit cards. If you choose to pay by check you will receive an email with instructions. Thank you.

Membership Fee

Membership Fee - 350.00 USD

Membership Fee - $350.00 per year

Total Amount

0.00 USD

Choose a Payment Method

Pay By Check

PayPal

Captcha(*)

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