Personal Data Sheet

Personal Data Sheet
Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
Email*
example@example.com
Ministerial #(If applicable)
Ministerial Rank (If applicable)
Spouse Name

First NameLast Name
Spouse Birthdate

MonthDayYear
Date
Anniversary Date

MonthDayYear
Date
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*

Area CodePhone Number
Church Name *
Church Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Phone Number*

Area CodePhone Number
Church Position
Please Upload a Individual Profile Pic for use on New Minister Identification Card

Browse Files

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Minister Meeting Registration link will be sent to the email provided upon receipt of Personal Data Sheet. If you do not receive the registration link please contact our offices.

Office Phone: 859-252-1793

Office Email: stateoffice@cogky.org
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