UACI - United Assemblies of Christ International

Subject: *
Attach Current Photo:
Full Name: *
Age: *
Date of Birth: *
Sex: *
Marital Status: *
Spouse Name:
No. of Children: *
Child(ren)s Name(s) and Birthdates:
Address 1: *
Address 2:
City: *
State:
Zip/Postal Code: *
Country: *
E-mail Address: *
Phone 1: include area code and number *
Phone 2: include area code and number *
Name of Church/Ministry: *
Church/Ministry Address: *
Church/Ministry Phone: *
Church/Ministry Web URL:
Tell us about your calling to the ministry: *
Tell us about your educational background: *
I understand that by applying for Ministerial Credentials through UACI that I am required to submit an annual Credentials fee upon submission of this application: *
I am in agreement with the Statement of Faith of UACI and agree to be guided by the UACI Constitution and By-Laws: *
Signature: *

Verification Code:
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