Evangelist Information Form

If you are a UPCI FULL-TIME LICENSED evangelist, you can fill out this form if you are available or traveling in Louisiana in the near future.

Are you listed on this website – must be listed by filling out the registration form, click here.  You can check your listing by going to Evangelist Listing page, click here.

Pastoral References Please provide name, city/state & phone number for three pastors for references

Email a high resolution picture of yourself to administrator@ladistupcievang.com.  (required)