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- Which ACC Credential do you currently hold?*
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- Are you a member of the ACC Pastors Emeritus Network, who has retired and held an OMC for more than 10 years?
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- Gender*
- Date of Birth*
- Are you of Aboriginal and/or Torres Strait Islander origin?
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- Has your marital status changed since your Credential/Certificate was last renewed?*
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- Are you currently married?*
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- Spouse's Date of Birth
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- Do you have a different Residental Address?*
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- Do you have an additional Phone or Fax Number?*
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- Are you currently attending an ACC Church?*
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- Church Country*
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- Start Date*
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- Have you attended an ACC State or Regional Meeting in 2019?*
- Date of attendance
- Please confirm you are engaged in Active Ministry (as per United Constitution)*
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- Expiry Date*
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- Have you completed a Child Protection Course in the last 3 years?*
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- Date Completed*
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- Date of this declaration*
- Would you like to update your photo on your Credential Card?*
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- Credential Card?*
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- Should be Empty: