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Credential Process

    Credentials Transfer Request

    Name
    Credential Level
    District I will be transferring to
    Date planning to leave the Rocky Mountain District
    Colorado/Utah Address
    City/State/Zip
    Email Address:
    My new ministry will be
    My new address will be
    New City/State/Zip
    New Phone Number
    VITAL INFORMATION NEEDED FOR THE RECEIVING DISTRICT
    PERSONAL INFORMATION
    Place of Birth
    Date of Birth
    Social Security Number
    FAMILY INFORMATION
    Spouse Name
    Spouse Place of Birth
    Spouse Date of Birth
    Ministry Activity
    Children
    Name / Date of Birth
    Name / Date of Birth
    Name / Date of Birth
    Name / Date of Birth
    Name / Date of Birth
    MINISTERIAL HISTORY
    Year Credentialed by the Assemblies of God
    District you were Credentialed in
    Credentials from other organizations
    Years Credentialed
    Pastorates / Other Ministries (Type, Places, and Dates)
    Additional Information