Membership Registration | Initiators Of Change Ministries

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This short video shows you, step by step, how to register on the ICM platform. Watch it once and the form below will be easy to fill.

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Branch & Photograph

Branch Name *

How do you attend church? *

Please spell out all words – no abbreviations. Your membership number will be issued after your application is approved.

Upload your photo JPG or PNG

Personal Information

First Name *

Last Name (Surname) *

Other / Middle Names (optional)

Date of Birth *

Gender *

MaleFemale

Residential Address *

Hometown *

Phone Number(s) *

Email Address *

YouTube Name / @handle *

The name that shows next to your comments on YouTube. We use it to check comments on the Pastor's videos.

How do I find it?

Open the YouTube app and tap your profile picture (top right). Your name and @handle are shown at the top. On a computer, click your profile picture, then “View your channel”.

Citizenship *

GhanaianOther

If Other, please specify

Marital Status *

SingleMarriedDivorcedWidowed

Educational Data

Name of your SHS / Vocational / Technical / Commercial School *

Name of your Tertiary Institution (University / Polytechnic / College) *

Please specify your education *

Employment Data

If not Student or Unemployed, Type of Job / Occupation

Auxiliary Data

Please provide details of two (2) close relations

Name of Contact Person *

Phone Number *

Relationship *

Name of Contact Person

Phone Number

Relationship

Church Membership & Department

Tell us about your service in the church

Are you already a member / worker of Initiators Of Change Ministries? *

YesNo

Which department do you serve in? *

Please type your department / work *

Are you a leader in that department? *

YesNo

Are you part of the pastoral team (Pastor, Elder, Deacon or Deaconess)? This is separate from your department.

YesNo

Which office do you hold? *

Church leadership will confirm this before it is shown as confirmed.

Are you a spiritual son or daughter of Rev. Clifford? *

YesNo

This helps us send you Bible studies and messages meant for Rev. Clifford's spiritual sons and daughters.

Declaration

I, promise to live by the code and conducts of the church.

I further declare that I will remain committed to the fulfilment of vision of the church to the Glory of God.

I agree to this declaration. Typing my full name above serves as my signature. Date: 22 Oct 2026

Create Your Member Login

You can log in with your username or email address and this password.

Username *

3–40 characters: small letters, numbers, dot, dash or underscore. Capital letters and spaces are fixed for you automatically. Example: kwame.mensah

Password (min. 8 characters, letters & numbers) *

Confirm Password *

Already have an account? Log in first, then return to this form.

Your details are kept private and used only by Initiators Of Change Ministries. See our Privacy Policy.