UACCC
Ministries & UGSI
MINISTRY
APPLICATION
Date___________________
Name:
________________________________ Spouse: ___________________
Address:___________________________
City,St, Zip:_____________________
Phone:
H _________________________ Cell__________________________
E-Mail
Address: __________________________________________________
Are
you a Born Again Christian? Y N Date___________________
Are
you Active in any Ministry?
______________________________________
_________________________________________________________________
_________________________________________________________________
Do
you have any Legal Issues? Y N “If Y Please explain “
__________________________________________________________________
Are
you a Good Steward of you Finances, Time, Talents & Gifts? Y
N
Do
you Agree with the UACCCI
Doctrinal
Statement & Code of Ethics (on Website) Y N
Please
Print, Sign & Date them & send in with Application.
Do
you give us Permission to run a Background Check,
upon
submitting Applcation, & that the cost of this has to be sent
with
Application? (you can Pay on Website, through PayPal) Y
N
Please
list 3 Personal/Ministry References that we can Contact......
Name:
_____________________________ Phone # _____________________
Name:
_____________________________ Phone #_____________________
Name:_____________________________
Phone #_____________________
Are
you Applying for UACCCI …......
___Ordination,
____Chaplaincy ______Biblical Counselor
Have
you watched the On-Line Vidios & Completed Assignments? Y
N
Are
you Applying for a Degree through UGCS?
If
you need to make payments on Degree Courses, will you sign a
UACCCI/UGSI,
Agreement on Payments? Y N
Degree
interested in pursuing? ______________________________________.
Signature
_____________________________________________
_________________________________________________________________
CHECKLIST
FOR APPLICATIONS
Fill
out Application, Copy & Sign Doctrinal Statement & Code of
Ethics, &
Ministry
Resume -----
Submit
Payment & Fee for Background Check $_________ through PayPal
Copies
of your Certifications &/or Degrees.
OFFICE
USE
Date
Recvd. ________________
Was
all Paperwork Recv'd & filled out Correctly ? Y N
Notes:
Was
Payment (s) made Y N
Notes:
Background
Check Submitted on: _________________,
Recv'd
on: __________________
Reference
Checks Completed on ________________
Questions:
How long they have known Applicant? Pers/Ministry
Is
the Applicant, Honest & Trustworthy?
Is
the Applicant active in Community/Ministry?
Any
known Personal/Legal Problems?
Has
Applicant have Leadership & People Skills?
Any
other Info? ( use back of App for
Notes)
Was
Application?: Approved Rejected Date
___________________
Signature
of UACCCI Officer completing this.____________________________