UCCMA Annual Ministers Report

UCCMA Annual Ministers Report
Your Ministers License Number
Your Current Age (Yrs.)*
Name*

First NameMiddle NameLast NameSuffix
Mailing Address*
City*
State*
Zip Code*
Country*
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E mail Address*
example@example.com
Website (if you or your ministry has one)
Are you an American citizen? Yes No If no, country of citizenship*
If no, country of citizenship
PastorEvangelistHelpsMissionaryTeacherMusicStreet MinistryPrison MinistryChaplainOther
Are you a pastor?*
What is the name of the church you pastor or attend?*
Approximately how many services did you conduct during the year of 2025?*
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?*
MarriedSingleDivorcedDivorced and Remarried
What is the name of your spouse (if applicable)?
Are you bound by a habit (i.e., tobacco, alcohol, drugs, pornography or gambling which would hinder your ministry?*
If yes to habit question explain:
Do you read the Shield of Faith Magazine that you receive each quarter?*
Are there any powerful testimonies or ministry reports that you would like to share (we may use this in our Magazine and other materials).
I have received my minister's certificate.I have not received my minister's certificate, please send it to me.I have a "Certificate of Ministry" to preach and teach only but I need to be ordained and receive a "Ordination Certificate."
IMPORTANT: To legally perform weddings (holy matrimony), you must be ordained (Certificate of Ordination), and you must check with your local courthouse officials. You must meet your state's requirements to legally perform weddings (this includes the state/county where the wedding will take place.) Please plan ahead to make sure you are covered. The "Certificate of Ministry" DOES NOT give ordained status. Always keep your wallet card with you.

NOTE: If you move or are moving, please let us know your new address as soon as possible.
I hereby state that all the information contained on this renewal is correct and true.*

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Donation Amount*

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USDThe annual renewal fee is $50 and is non-fundable.
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