

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
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
on www.uaccci.net Payment Link,
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.____________________________