Name *

First Name

Last Name

Cell Phone #

(###)

###

####

Office Phone #

(###)

###

####

Ministerial Status *

Ordained

Licensed

Letter

Christian Worker

Date

MM

DD

YYYY

Name *

First Name

Last Name

Home Phone #

(###)

###

####

Cell Phone #

(###)

###

####

SOCIAL MEDIA (Check all that apply):

Facebook

Instagram

Other

Are you complying with the ministerial requirements as contained in the Articles of Faith? *

Yes

No

Have you paid 100% of your ministerial tithe into the General Treasury of The Church of God of the Apostolic Faith, Inc.?

Yes

No

What is your present Ministerial Credential? *

Ordained

Licensed

Letter

Christian Worker

Are you requesting your ministerial credentials be renewed?

Yes

No

Date

MM

DD

YYYY