CCIW Disciples Transferring Ministry Standing
To Help us make sure we have all the information needed to file a change of standing form please fill in the below questionnaire. Submitting sends it to us to process.
Email address *
Legal First Name *
Middle Name or Initial *
Legal Last Name *
Date of Birth *
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Ethnicity *
Gender *
Street Address (City, State, Zip) *
Home Phone
Work Phone
Cell Phone
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