Alaska Ministry Network
1048 W International Airport Rd
Anchorage, AK, 99518
www.akministrynetwork.org
credential@alaskaag.org
(907) 562-2247
Credential Transfer Form
This form is to be used by the minister who wishes to transfer their credentials. We suggest that you immediately contact our Network Office and the District/Network one to which you will be transferring to in order that there will be no delay in effecting the transfer.
Full Name:
*
First Name
Middle Name
Last Name
Preferred Phone Number:
*
Preferred E-mail:
*
example@example.com
New Information
1. The District/Network I will be transferring into is:
*
2. I am planning to leave the Alaska Network around this date:
*
-
Month
-
Day
Year
Date
3. New Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
4. My new ministry will be that of: (optional)
Lead Pastor
Staff Pastor
Evangelist
Other
5. Name and location of new church: (optional)
Credentials/Education
1. Through what Bible School/University have you completed your required education? (optional)
2. Certified Date and Credentialing District/Network: (optional)
3. Licensed Date and Credentialing District/Network: (optional)
4. Ordination Date and Credentialing District/Network: (optional)
Signature
*
Continue
Continue
Should be Empty: