If you have any difficulty filling out the form please do not hesitate to contact Seyi Adeyemo, at the Regional Office, 506-306-0494, he will be happy to help you.

Name(Required)
Home Mailing Address(Required)
Region(Required)
Let us know which Region you are from.
Please note the field below will add a comma to your year which we will remove on our end.
Let us know your degree(s), in order as they will appear on your certificate.
We are asking you to write a brief biography (2-4 paragraphs) from your time in ministry.
Please upload three to five photos you would like us to use to celebrate your ministry. These can be pictures from special events or perhaps some that represent significant milestones for you. If you are unable to upload your photos you can mail them to the Regional office where they will scan the photos and return them to you.
Drop files here or
Max. file size: 64 MB.
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