Minister Application Form 1 Personal Info2 Spouse Info3 Church Info4 Terms & Payment Personal InformationMinister Application ConfirmationSelect Membership RegistrationRegistration is prorated based on the month you register. Yearly renewal rates are as follows: Minister $180, Spouse $120, Missionary $60, Retired $60. Registration rates include Membership for April through December 31, 2021 . Minister $135Spouse $90Missionary $45Retired $45Name* PastorRev.Mr.Mrs.MissMs.Dr.Prof. Title First Middle Initial Last Address Street Address Address Line 2 City Province Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneCell PhoneEmail* Position(please select an option)Sr. PastorAssist. PastorAssoc. PastorYouth PastorInterim PastorItinerant MinisterEvangelistRetiredMissionaryAdministrationChristian EducationWorship LeaderMusicVisitationChaplainCounselorOtherOther Position Description*Birthday* Date Format: YYYY slash MM slash DD Do you wish to become registered with the provincial government to perform marriages?*1. Please only select YES if you foresee the need to perform marriages on a regular basis. If you seldom perform marriages, please select NO and use temporary marriage registrations (as-needed bases). 2. Ontario requires Ordination and Pastoral Charge in Ontario in order to hold a permanent marriage registration. 3. Marriage registrations take up to 6 weeks to process.YesNoI am already currently registeredMarriage License #Date of Licensing or OrdinationPlease upload a copy of your License to Minister or Ordination Certificate. Drop files here or Total $ 0.00 CAD Spouse InformationIs your Spouse registering with the FCA?*YesNoNot MarriedSelect Spouse Membership RegistrationRegistration is prorated based on the month you register. Yearly renewal rates are as follows: Minister $180, Spouse $120, Missionary $60, Retired $60. Registration rates includes 2021 Membership. Minister Spouse $90Missionary Spouse $45Retired Spouse $45Spouse Name PastorRev.Mr.Mrs.MissMs.Dr.Prof. Title First Middle Initial Last Spouse Cell PhoneSpouse Email*Online accounts require unique emails. Please do not use the same email for spouses. Spouse Position(please select an option)Sr. PastorAssist. PastorAssoc. PastorYouth PastorInterim PastorItinerant MinisterEvangelistRetiredMissionaryAdministrationChristian EducationWorship LeaderMusicVisitationChaplainCounselorOtherOther Position Description*Does your spouse wish to become registered with the provincial government to perform marriages?*YesNoCurrently registeredSpouse Marriage License #Spouse Birthday* Date Format: YYYY slash MM slash DD Please upload a copy of your spouse License to Minister or Ordination Certificate.Total $ 0.00 CAD Church InformationEndorsing Church Name*....Please Select a Church....Amisk Lake ChurchBethel Bible FellowshipBlackfalds Community FellowshipCalgary Community ChurchCamrose Community ChurchChrist Family FellowshipChristian Fellowship AssemblyChristian Life CentreChurch in the Vine of EdmontonClearwater River MinistriesCornerstone Christian FellowshipCornerstone Community ChurchCrossroads Christian AssemblyDayspring FellowshipFlying Dust Full Gospel ChurchFollowers of Christ FellowshipFountaingate Christian AssemblyFriends of Jesus Christ, CanadaFull Gospel Church (Red Sucker Lake)Gateway Community Church of BoyleGrace Community ChurchGrace Restoration International MinistriesHardisty Messianic CongregationHarvest For ChristHarvest Ministries Inc.Heart for the Nations MinistriesImmanuel Assembly of God ChurchJesus Christ the Giver of Life MinistriesKing of Kings New Testament ChurchKootenay Christian FellowshipLake St. Peter Word of Life Outreach, Inc.Lakeside Christian CentreLiberty Christian AssemblyLiving Branches Community ChurchLiving Stones ChurchLiving Water Pipeline MinistriesLiving Waters Fellowship FCAManning Family Worship CentreMaranatha Pentecostal ChurchMaranatha Niverville Inc.McMurray Gospel AssemblyNative Full Gospel FellowshipNew Beginning Christian CentreOakbank Christian ChurchOpen Arms of JesusPinehouse Christian FellowshipProgress Church of GodRichfield Christian FellowshipRiver's Edge FellowshipRock of Help Christian CentreShalom Family Worship CentreStreams of Victory ChurchTent of David Assembly of EdmontonThe Dwelling PlaceThe Father's House Christian FellowshipThe Launching PlaceThe Wave ChurchThe Way Christian Mission Fellowship ABUpper Room Christian Ministries InternationalWetaskiwin Full Gospel FellowshipWildwood ChapelWithrow Gospel MissionWolseley New Life ChurchIs your Serving Ministry the same as your Endorsing Church?*YesNoNo Current Serving MinistryServing Ministry NameServing Ministry PhoneServing Ministry Address Street Address Address Line 2 City Province Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Terms & PaymentPlease read and agree to the following: I have read and agree to the Statement of Common Beliefs I have read and agree to the Statement of Ethics I commit to a relationship with my Endorsing Church I endeavour to attend Regional Meetings and the Annual Convention I agree to receive email communication from the FCA Both parties registering on this form agree to the following statements: We have read and agree to the Statement of Common Beliefs We have read and agree to the Statement of Ethics We commit to a relationship with our Endorsing Church We endeavour to attend Regional Meetings and the Annual Convention We agree to receive email communication from the FCA Total Due $ 0.00 CAD Your application will not be considered complete until payment has been received.Please select your Payment method:E-TransferChequePlease send your e-transfer to the FCA Office at finance@fcaministers.com Sending to this email will auto-deposit and no security question/answer is required.Please make cheque payable and mail to: Fellowship of Christian Assemblies 11449 92nd St Grande Prairie, AB T8X 1P4 P. (403) 341-3408 E. office@fcaministers.com