Instruction for Applicants:
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Print out this application
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Fill out all that apply
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Mail the completed application to the
UFA National Headquarters: 3360 Rand Street-Philadelphia, Pennsylvania 19134 USA
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UFA Application for Membership
PESONAL INFORMATION
Name:______________________________________ Application Date:________
Spouses Name:__________________ Home Phone:_____________________
Individuals Address:_________________________________________
City:______________________ State:__________ Zip:_________
Country:_________________________ Office Phone:_____________________
Fax:________________________________ E-Mail_____________________________
Birthday:____/____/____ Spouse Birthday:____/____/____
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CHURCH/MINISTRY INFORMATION
Church/Ministry Name:_________________________________________________
Date Organized:____/____/____
Founders Name:______________________________________________________
Date You were Installed:____/____/____
Church/Ministry Address:
City:__________________ State:________________ Zip:_______________ Country:______
Church/Ministry Phone:( )_________________ Fax:( )________________
E-mail:_______________________________ # of Members to date:____________
Church Contact Person(s):
Adminstrator:____________________________ Phone: ( )________________
Secretary:_______________________________Phone: ( )________________
Do you have a media Ministry? (Circle all that apply) TV Radio Other__________
Provide Area Coverage and Listings:
_______________________________________________________________________
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CHRISTIAN BACKGROUND
What year were you saved?____________
Name the First Church of your membership_____________________________________
Pastor:____________________ City & State_________________________________
How many years of Service______________
List Others ministries you've been apart of
Name_______________________________ Pastor____________________________
City____________________State_____________________ How Long______________
Name_______________________________ Pastor____________________________
City____________________State_____________________ How Long______________
Name_______________________________ Pastor____________________________
City____________________State_____________________ How Long______________
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EDUCATION
High School___ College___ Bible School(Specify)__________________________
List Any Special Achievements(Degrees, Awards, ect.)Optional
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I do hereby pledge to join myself to the United Fellowship Assemblies, Inc. and thereby voluntarily submit to its Leadership, Rules, Vision and Declaration. I understand that by doing so I do not surrender any of the autonomy that is characteristic of being a Christian church. I further pledge to offer my gifts and talents in building this Interdenominational Fellowship of Faith and Vision.
(Other than the Applicants signature, OFFICIAL USE ONLY)
Referred by:_____________________________________
Referrers Signature________________________________
Signature of the Applicant_______________________________________
Signature of the General Secretary__________________________________
Signature of the Presiding Prelate_________________________________
