STM PIM FORm
REQUEST

ASSOCIATED MINISTER
GLOBAL EDUCATOR

Legal Name(Required)
Please enter the name of the approved individual.
If you prefer to use your nick name on your PIM form, please indicate that here.
I am an(Required)
I am a retired UPCI missionary.(Required)
A white/light background will work best.
Accepted file types: jpg, png, pdf, Max. file size: 2 MB.
If you have any questions or notes about this request, please add them here.
Once you hit Submit, your request will head over to our STM Office Rep's Inbox. Once the form is created for you, we'll email a PDF version that you can print and distribute.
This field is for validation purposes and should be left unchanged.