UCCMA Minister Application

UCCMA Minister Application
What type of minister application?
Name*

First NameMiddle NameLast NameSuffix
Mailing Address*
City*
State*
Zip Code*
Country*
E mail Address*
example@example.com
Website (if you or your ministry has one)
Cell Phone Number*
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Are you an American citizen? Yes No If no, country of citizenship*
If no, country of citizenship
Age*
Male or Female*
MarriedSingleDivorcedDivorced and Remarried
What is the name of your spouse?
Do you have the baptism of the Holy Ghost according to Acts 2:47*
Are you free from tobacco, alcohol, drugs, pornography or gambling which would hinder your ministry?*
Do you, as stated in our bylaws, unequivocally affirm that marriage is a covenant relationship between a man and woman and reject all attempts to redefine marriage in terms of same-sex unions and behavior?*
Do you believe in the gifts of the Spirit? (1 Corinthians 12:7-11)*
PastorEvangelistHelpsMissionaryTeacherMusicStreet MinistryPrison MinistryChaplainOther
How long have you been a Christian?*
Are you enrolled in our Bible study course?*
Do you and/or will you tithe to the Lord's work? (Hebrews 7)*
Will you support the United Christian Ministerial Association with a portion of your tithes and offerings to support missions and other outreaches of the ministry?*
Do you understand that the United Christian Ministerial Association is interdenominational and all of our ministers may not agree on all points of doctrine?*
Are you a pastor?*
What is the name of the church you pastor or attend?*
Have you ever been arrested, convicted or plead "no contest" at any time?*
If yes, please explain:
Have you ever been convicted of a felony, a misdemeanor, a crime or moral turpitude or any sex offense, including. but not limited to, child abuse and/or child neglect?*
If yes, state the nature of the offense(s), when, where and disposition.
*The existence of a conviction of pending charge will not necessarily preclude you from credentialing The nature and gravity of the offense or offenses, the time that has passed since the conviction or completion of the sentence, and the nature of the job held or sought will all be considered.
I hereby state that all the information contained on this application is correct and true. I will humbly and sincerely work for the Lord. I affirm that I will live and preach Bible holiness. *

Clear
Please upload a recent photo of yourself. The photo should have only you in the frame and should clearly show your face.*

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YOU MUST INPUT TWO MINISTRY REFERENCES BELOW.

When this application is received in the United Christian Church & Ministerial Assoc. office, we will forward a "verification letter" to the individual listed below. It must be completed and returned to our office in the self-addressed stamped envelope that is provided before the applicant is considered for licensure.
- Reference 1 Ministers License Number
- Reference 1 Name*
- Reference 1 Mailing Address*
- Reference 1 City*
- Reference 1 State*
- Reference 1 Zip*
- Reference 1 Country*
- Reference 1 Phone Number*
- Reference 1 Email
  example@example.com
- Reference 2 Ministers License Number
- Reference 2 Name*
- Reference 2 Address*
- Reference 2 City*
- Reference 2 State*
- Reference 2 Zip*
- Reference 2 Country*
- Reference 2 Phone Number*
- Reference 2 Email
  example@example.com
- Application Fee
  
  prevnext( X )
  USDThe application fee is $50.00 and is non-refundable.
- Payment Methods
  
  Fastlane Checkout
  
  Choose from one of the PayPal options to make your payment.
  
  Contact Info
  
  Payment Info
- Should be Empty: