Date of Birth: Marital Status: MarriedDivorcedSeperatedSingle

AEGA ID Card # Current credential level CHRISTIAN WORKER MINISTERIAL APPRENTICE LICENSED MINISTER ORDAINED MINISTER

Do you wish to upgrade to the next Credential level? YesNo (Licensed Minister and Ordained Minister require passing a written test.)

Ministries in which you are involved: (check all that apply)

Evangelism Teaching Counseling Pastor Other

If you are pastoring, please answer the following:

Name of Church

Address

Office Phone

Mobile Phone

Church website (if applicable)

Email

Which of the following departments exist in your church? (check all that apply)

Youth Department Outreach Ministry Sunday School Food Pantry

Missions Department

Counseling Services Music Department Other (describe)

If you are not pastoring, where do you currently attend church?:

Name of Church

Address

Office Phone

Pastors Name

Church website (if applicable) Church email

Please answer the following:

Have you been faithful to pray for AEGA? YesNo

Have you been financially supporting and actively promoting AEGA? YesNo

Have you been faithful to your local church? YesNo

Have you visited another country to minister ? YesNo

Have you abstained from the use of tobacco and alcohol? YesNo

How many of the following have you performed in the past year?

Weddings: Baptisms Funerals Baby Dedications Other

APPLICANTS SHOULD READ THIS CAREFULLY:

FINAL CHECKLIST FOR APPLICANT:

**REMEMBER....YOUR APPLICATION WILL NOT BE PROCESSED IF ANY OF THESE ITEMS ARE MISSING**

PLEASE BE SURE TO MAIL THE FOLLOWING TO OUR OFFICE:

1. Applicant's picture.
2. Membership fee. Fees applicable to your country (MUST be in US Dollars only)
3. Completed Renewal Application

All the materials listed above should be mailed to:

AEGA Ministries International
Foreign Affairs Division
2152 Hwy. 139
Monroe, Louisiana 71203
United States of America

If you have any questions, please call us at: 1-318-345-4220.

I hereby declare each of the statements given on the above page and foregoing pages, to be true and correct, and I pledge to abide by all promises and statements contained therein.

NOTE: By hitting the "submit application" below you are perfoming an electronic signature. This is the same as signing your name to a hard copy of this document in person and is legal and binding.