American Mission Teams
MINISTERIAL CREDENTIALS APPLICATION
INTERN - LICENSE - ORDINATION

Please print and fill out application completely.  Include a current photograph and the proper fees.
Intern = $35License = $50Ordination = $50

Send form, fees and photograph to:
American Mission Teams, P.O. Box 339, Norris City, Illinois 62869
618-378-3821 ♦ Email: amticbt@hamiltoncom.net
Date:  _______________

Name:  ________________________________________________________________

Address: _______________________________________________________________

City:  _________________________________ State:  ____________ Zip:  __________

Phone: (____)________________ E-mail ______________________________________
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Credential Application is for:
       ___ Lay Ministry      ___ Intern License     ___  License      ___  Ordination 

Home Church:  _________________________________________________________

Phone: _____________________ Email: ____________________________________

City: _____________________________________ State: _______ Zip: ___________

Pastor: _______________________________ Phone: (____)____________________

Give a brief summary of your salvation experience, ministry, etc.
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Present Ministry Status: ___________________________________________________

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Signature                                                                Date

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