Interim Ministry Information Form
Please provide the following information to help our churches fill temporary pastoral or staff vacancies. Note that by completing the following information you are giving UBA permission to perform a background check using the information you provide.
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First Name *
Last Name *
Current Church Membership *
Date of Birth *
MM
/
DD
/
YYYY
City *
Email *
Cell Phone
Home Phone
I am available to serve as... (check all that apply)
Educational Background
Previous 4 Places of Ministry Service
Specialized Ministry Training (Intentional or Transitional Pastor training, etc.)
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