Intake Application - UPPC
General Information
* First Name
* Last Name
* Birth Date
* Gender Identity
Select one
Cis Male
Cis Female
Trans Man (F to M)
Trans Woman (M to F)
Non-Binary
Gender Fluid
Gender Queer
Agender
Androgyne
Demigender
Genderflux
Graygender
Intergender
Pangender
Polygender
Other
* Pronouns
Select one
They/Them
She/Her
He/Him
Other
* Marital Status
Select one
Single
Married
Divorced
Separated
Widowed
Engaged
* Email
* Mobile Phone
* Alternative Contant
* Social Media Links
* Address
* Address 2 (Apt/Suite # etc.)
* Zip/Postal Code
* City Address
* State
Select one
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Education History
* College/Graduate Major
* Highest Level Attained
Select one
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
GED
College (Year 1)
College (Year 2)
College (Year 3)
College (Year 4)
Associate
Bachelor
Masters
Doctorate
Specialist
* Name of School
* Diploma/Degree
* Education Title
Select one
Doctor of Arts (D.A.)
Doctor of Business Administration (D.B.A.)
Doctor of Civil Law (D.C.L.)
Doctor of Divinity ( D.D.)
Doctor of Literature or Doctor of Letters (D.Lit. or D. Litt.)
Doctor of Ministry (D.Min)
Doctor of Musical Arts (D.M.A.)
Doctor of Music (D. Mus.)
Doctorate of Nursing Science (D.N.S.)
Doctor of Philosophy (D. Phil.)
Doctor of Science (D.Sc.)
Doctor of Education (Ed.D.)
Doctor of Engineering (Eng.D.)
Doctor of Law or Juris Doctor (J.D.)
Doctor of Pharmacy (Pharm.D.)
Doctor of Philosophy (Ph.D.)
Doctor of Psychology (Psy.D.)
Doctor of Theology (Th.D.)
Educational Specialist (Ed.S.)
Bachelor of Accountancy (B.Acc.)
Master of Arts (M.A.)
Master of Business Administration (M.B.A.)
Master of Divinity (M.Div.)
Master of Education (M.Ed.)
Master of Public Administration (M.P.A.)
Master of Public Affairs (M.P.A.)
Master of Project Management (M.P.M.)
Master of Public Policy (M.P.P.)
Master of Religious Education (M.R.E.)
Master of Science (M.S.)
Master of Theological Studies (M.T.S.)
N/A
* Year Obtained
Church Affiliation and References
- CHURCH AFFILIATION AND REFERENCES
* Name of Church
* Senior Pastor
* Phone
* Address
* City
* State/Province
* Zip
* Denomination/Organization
* How Long Have You Attended This Church/Location
Select one
Under 6 Months
6 Months to 1 Year
1 to 2 Years
3 to 5 Years
6 to 10 Years
10+ Years
* If Less Than One Year: Please list the name of the church you most previously attended, including address, phone number, and senior pastor. Additionally, we ask that you list any reason for your transition.
* Church Website
Agreement with the Pillars of the United Progressive Pentecostal Church: 5 Christian Pillars of the Faith that MUST endure without compromise
* The First Pillar: The name of Jesus is above every name.
Select one
I Agree
I Disagree
* The Second Pillar: Jesus Christ is head of the Church
Select one
I Agree
I Disagree
* The Third Pillar: God's Plan of Salvation through Jesus Christ.
Select one
I Agree
I Disagree
* The Fourth Pillar: God's call for Justice and Peace
Select one
I Agree
I Disagree
* The Fifth Pillar: God's Inclusive Love in Jesus Christ
Select one
I Agree
I Disagree
Church/Ministry Affiliation
- Church/Ministry Affiliation with United Progressive Pentecostal Church Fellowship is based upon the mutual desire to develop relationships in an apostolic network of churches/ministries for the purpose of the New Testament ministry including: fellowship, ministry equipping, church planting, and evangelism and mission outreach. UPPC provides covering, counsel, and spiritual accountability, but is not connected legally or involved in the governing of local churches/ministries, other than to be available upon request to set a church/ministry in order and speak into it according New Testament five-fold ministry and relational structure.
* Office of Election/Title
Select one
Minister ($150)
Elder ($250)
Pastor ($350)
Regional Director Formerly Known As Overseer ($450)
Apostle ($550)
Bishop ($1050)
* Name the Church/Organization of your Ordination/Consecration/Apostolic Affirmation
* Confirm the Date of your Most immediate Ministry Elevation
* Identify the Chief Celebrant
* Co-Celebrant(s)
* Are You Able To Provide Your Most Immediate Credentials
Select one
Yes - I have my credentials, ready and available. I can provide my credentials upon request.
Yes - I have my credentials. However I need at least 60 days to obtain them.
No - I do not have my credentials. I will not be able to provide them at this time.
* Will a Church Body or Market Place Ministry Accompany This Application
Select one
Yes - I intent to join with either my Church Body or Organization
No - I intend to apply alone, without the consideration of an additional Church Body or Organization
Application Affirmation
- Church/Ministry Affiliation Application Guidance Thank you for considering affiliation with the United Progressive Pentecostal Church Fellowship (UPPC). Our fellowship thrives on a mutual aspiration to foster New Testament ministry through an apostolic network of churches, ministries, and networks. This includes but is not limited to fellowship, ministry equipping, church planting, and evangelism and mission outreach. UPPC is committed to offering covering, counsel, and spiritual accountability. It's important to note that while we engage deeply with our affiliated entities, UPPC does not hold legal ties or partake in the governance of local churches/ministries unless specifically requested to aid in establishing or advising according to New Testament five-fold ministry principles and relational structures. Application Considerations and Rights Reserved by UPPC: Titles and Offices Requested: While we request details regarding office titles and roles within your application, please understand that submission of this information is for application consideration only. These details do not guarantee entitlements or specific positions within the UPPC network. UPPC reserves the right, at its sole discretion, to accept, deny, demote, or elevate any application based on our assessment and alignment with UPPC's mission and values. Application and Background Check Fees: The application process includes a non-refundable fee. This fee covers administrative costs and is not a deposit towards membership or affiliation with UPPC. Additionally, part of this fee is allocated for a background check, which UPPC may conduct at its discretion. This is a standard part of our diligence process to ensure the integrity and safety of our fellowship and its ministries. Acknowledgment: By submitting your application for Church/Ministry Affiliation with UPPC, you acknowledge and agree to the terms outlined above.
Prospect Acknowledgement
- Acknowledgment: By submitting your application for Church/Ministry Affiliation with UPPC, you acknowledge and agree to the terms outlined above. You understand that UPPC's consideration of your application does not create any entitlements, and the decision-making process remains at the full discretion of UPPC. We look forward to the opportunity to review your application and possibly welcome you into our fellowship, where we strive together towards the growth and empowerment of our communities through the spirit and guidance of New Testament ministry.
* Affirm Agreement
Select one
I Agree
I Decline
Add Another Person
Processing registration ...
Cancel
Safari Users Click to Register
Chrome Users Click to Register