Online Renewal Form July 2021 – June 2022 Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastCredential Held *Ordained MinisterAssociate MinisterCommunity ChaplainChristian WorkerHome Street Address *Town *State *ACTNSWNTQLDSATASVICWAPost Code *Postal Address *If your postal address is your residential address, please mark, "Same as above."EmailEmailConfirm EmailMobile Phone *Home PhoneChurch/Ministry PhoneWebsiteFaccebook IdentityOther Social Media (LinkedIn/Instagram/Other)Please indicate if any of the following have occurred. Have you:Declared bankruptcyCharged or arrested by Police or other official of a State or Federal GovernmentConvicted of a crime or misdemeanourSubjected to disciplinary action in a profession, trade or employmentChanged marital statusBecome aware of any reason why your working with children registration would be cancelledBecome aware of any reason why your credential would be revoked by Full Gospel AustraliaBeen the subject of a serious complaint in your church or ministryCheck 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 detailsWorking 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 *YesNoI understand and will abide by the Code of Conduct for the Full Gospel Churches of Australia *YesNoSignature *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. WebsiteSubmit How useful was this post? Click on a star to rate it! Submit Rating We are sorry that this post was not useful for you! Let us improve this post! Tell us how we can improve this post? Submit Feedback