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 = $35
License = $50
Ordination = $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