Online Renewal Form July 2021

Name *

First

Middle

Last

Credential Held *

Ordained Minister
Associate Minister
Community Chaplain
Christian Worker

Home Street Address *

Town *

State *

Post Code *

Postal Address *

If your postal address is your residential address, please mark, "Same as above."

Email

Confirm Email

Mobile Phone *

Home Phone

Church/Ministry Phone

Website

Faccebook Identity

Other Social Media (LinkedIn/Instagram/Other)

Please indicate if any of the following have occurred. Have you:

Declared bankruptcy
Charged or arrested by Police or other official of a State or Federal Government
Convicted of a crime or misdemeanour
Subjected to disciplinary action in a profession, trade or employment
Changed marital status
Become aware of any reason why your working with children registration would be cancelled
Become aware of any reason why your credential would be revoked by Full Gospel Australia
Been the subject of a serious complaint in your church or ministry

Check as many boxes as you need. If none of these circumstances apply, leave all boxes unchecked.

If you have checked any of the above, please provide full details

Working With Children Number *

Working With Children Expiry Date *

Name of Church or Ministry *

Address of Church or Ministry *

Churches: How many people attend your Church *

General attendance numbers includes both members and attendees. This may include people who attend fortnightly or monthly, but are regular attenders and would consider themselves to be attenders of your church.
If you run a ministry please enter how many people your ministry reaches.

How many people does your church or ministry reach on a yearly basis? *

For instance, if your ministry has a Food Bank, how many different people would your food bank feed? If you have a community outreach, include those numbers. If your church has a feeding program at the local school, include that too.

What is your responsibility or role within the Church or Ministry? *

Details of your role *

Tell us about your Missions Program? *

Every church or ministry should engage in some form of mission, whether it be a local outreach, youth outreach or overseas missions. Please describe your Church or Ministry's mission involvement.

What significant changes has your church or ministry undergone in the last 12 months?

Have you had any significant milestones/celebrations/victories in the past 12 months?

I have read and accept the Full Gospel Churches of Australia Statement of Faith *

Yes
No

I understand and will abide by the Code of Conduct for the Full Gospel Churches of Australia *

Yes
No

Signature *

Please type your name as an online signature.
This form will be automatically dated when you press the SUBMIT button.

Payment Type *

Direct Debit (Account details below)
Cheque (Payable to Full Gospel Australia)
Credit Card (Plus fees and charges)

Bank Details for Direct Debit:
Account Name: Full Gospel Australia
BSB: 034 080
Account # 579 344
Bank: Westpac
Credit Card Payments must be arranged with Full Gospel Australia
Send Cheques to PO Box 195, CAPALABA QLD 4157.