Name *

First Name

Last Name

Do you hold AG minister credentials? *

Yes

No

If yes, what level?

Certified

Licensed

Ordained

Are you a U.S. military veteran? *

Yes

No

Are you interested in learning more about serving in AGWM Military Ministries? *

Yes

No

If yes, what region most interests you?

Asia-Pacific

Europe

Not sure

Would you like one of our regional coordinators to contact you regarding opportunities to serve in AGWM MM? *

Yes

No

If yes, how do you prefer to be contacted?

Phone

Email

Either