Full Gospel Churches International - DOC by 5uIp7t8

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									                                                                                     Full Gospel Churches International
                                                                                                                P.O. Box 515                                                                          Anderson, Mo. 64831
                                                            ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
                                                                        General Superintendent                                           General Secretary/Treasurer Assistant General Superintendent
                                                                          Rev. John Myers                                               Rev. Donna C. Ross          Rev. Dan Craig
                                                                                   2822 Ohio Ave.                                             P.O. Box 515                                                                  15676 State Hwy. 154
                                                                                   Joplin, Mo. 64804                                          Anderson, MO. 64831                                                         Danville, Ark. 72833
                                                                               417-623-4309                                               417-845-7089                                                                  770-893-7498


        Application________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
        ____________




                                                                                         CREDENTIALS RENEWAL FORM
                                                                                                                         (TYPE OR PRINT ONLY)


Name_________________________________________________________ Birth Date _____/_____/_____
Address __________________________________ City ____________________ State ____ Zip _________
Home Telephone (                                              ) ______- _______________                                                                                    Work Telephone (                                                              ) ______-
_______________
Cell Telephone (                                        ) ______- _______________                                                                                    Email Address
_______________________________
Spouse’s Name _______________________________ Has your marital status changed during the last year?
If yes, give explanation: _____________________________________________________________________
Have you attended a State or General Convention in the last year? _____                                                                                                                                                   2 years? _____                                               5 years?
_____
Have u filed bankruptcy in the past year? _____                                                                                          Have you been arrested or convicted of any crime in the last
year? If yes, give explanation: _______________________________________________________________
Present Credentials: Ord ___ Lic ___ Exh ___ CW ___                                                                                                                    Full Time? _____                                                        Desire a Pastorate? ______
Church you attend _________________________________________________________________________
Church Address __________________________________________________________________________
Pastor’s Name & Telephone Number __________________________________________________________
Present Ministry? __________________________________________________________________________
Do you carry credentials with another organization? If yes, give name, address and telephone of organization:
________________________________________________________________________________________
I reaffirm my vow to full abide by the Doctrine, Constitution and Bylaws and the Ministerial Code of Ethics of Full
Gospel Churches International. Regarding ministerial tithes, I will prayerfully consider contributing a minimum of
2% of my ministerial income to support the Fellowship.
I affirm that the information I have given is correct to the best of my knowledge
$40.00 renewal fee paid ________                                                                     Signed ____________________________________________________


                                        (Failure to answer all questions may cause delay in renewal process.)

								
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