Anglican Church International Communion
Province/Diocese Application for Communion
As the Apostolic Church brought both religious and non-religious peoples to Christ, WE
DECLARE that the Church of today must be a church on mission, reaching out to believers and
non-believers with the saving Gospel of Jesus Christ.
WE FURTHER DECLARE that we adhere wholly to biblical teaching and to the following
principles, and thus shall not accept any action or compromise that would weaken or change the
faith and traditions of these principles and beliefs, which we hold to be essential to an unimpaired
relationship with Jesus Christ and His one holy catholic and apostolic church.
1. We believe in the authority of the HOLY SCRIPTURES as the inerrant Word of God, as
summarized by the Creeds, taught by the Fathers, and defined in the Thirty-Nine Articles of
Religion, and the Authorized (King James) Version of The Holy Bible, it being the standard
translation into the English language.
2. We believe the Nicene and Apostles' CREEDS are binding on every member of the Church as
the expression of their specific personal commitment and conviction.
3.We believe HOLY BAPTISM as ordained by Christ, as set forth in the Book of Common
Prayer, is the seal of our Salvation, and Confirmation by a bishop in the apostolic line is the means
whereby we receive the strengthening gifts of the Holy Spirit in the Apostolic tradition.
4. We believe HOLY COMMUNION shall be validly celebrated by a bishop of the Apostolic
line, or by a priest ordained by such a bishop, and properly received by those confirmed or ready
and desirous to be confirmed.  Holy Communion will not be refused to believing baptized
Christians of other traditions.
5.We believe HOLY ORDERS of Bishop, Priest, and Deacon are open only to believing men,
following Biblical practice, the universal practice of the holy catholic church, and as intended by our
Book of Common Prayer.
6. We believe the integrity of the sacramental functions of the EPISCOPATE, and according to the
Apostolic model, as evangelists, guardians of the faith, and caring shepherds of the flock, shall be
placed above the administrative responsibilities that have so often caused mischief in the churches
of former years.
7.We believe the historic BOOK OF COMMON PRAYER is regarded as a doctrinal standard
and our common liturgy. We worship according to the 1928 American edition of the Book of
Common Prayer, the 1962 Canadian edition, or the 1662 English Book of Common Prayer.  We
respect liturgical expression established by Archbishop Thomas Cranmer in 1549, and the 1552
version as set forth by the Act of Uniformity, and other national equivalents so far as the faith is
kept entire by them.
8. We believe in the unique salvation of Jesus Christ and pledge our commitment to the words of
Our Lord Jesus Christ about Himself:
"I am the WAY, the Truth, and the Life: and no man
cometh to the Father, but by me."
WE GIVE OUR WITNESS BEFORE GOD, to all believers in Christ, unbelievers and those who
claim the name of Christ for themselves while disdaining Our Lord's own words about Himself.
SIGNED, In the Name of GOD the FATHER, GOD the SON and GOD the HOLY GHOST,  
the provinces of:
  1. Anglican Church of Virginia
  2. Orthodox Anglican Church of Haiti
  3. Anglican Diocese of the Good Shepherd
  4. Orthodox Anglican Church of the South
  5. Anglican Episcopal Church of India
  6. The Free Church of Australia of the Anglican Church
    of Virginia
  7. Mexican Independent Episcopal Church
  8. American Anglican Convocation
  9. Anglican Episcopal Church
  10. Anglican Episcopal Church of India
  11. Diocese of the Caribbean and New Granada and the
          Holy    Catholic Church (WR)
12. Traditional Church of England and Australia
13.  Anglican Diocese of Central America
14.  Independent Anglican Church of Pakistan

Signature(s): ___________________________, in the ______________ year of my ordination.
I (we) the Bishop(s) of the Province/Diocese of _______________________                               
_______________of, _______________________ (Country/Nation/ or State), do request and
pray to come into the Anglican Church International Communion.  I(we) pledge and affirm my(our)
agreement to the
Declaration of Principles by my(our) signature(s) and  seal(s) to this document,
this _________Day of ____________(month), two-thousand and three, in the year of Our Lord.
Information Form
Please provide the following information:
Name of Church (es) or parish (es) seeking membership in the Anglican Church International
Communion: Give location and number of communicants and members.
Name of Clergy and Bishops and Clergy information ( Include information about each clergyman
and Bishop(s) such as: Dates of Ordination, Name of Province or Diocese of Ordination, Location
of Ordination, Name of Bishop(s) who ordained clergy.)
Province chief layLeader name and address and parish church.
Name(s) of Senior Wardens or Lay Leader in each Parish.
Reason for seeking to come into the Anglican Church International Communion.
If your Province/Diocese has been affiliated with another communion why are you seeking
communion with the ACIC at this time?
Describe briefly your activities and mission.
Only a voluntary tithe is required.  If a tithe can not be given it should be noted.
Please provide the name, address and contact information of the person or persons to whom the  
Bishop will sent all official email or correspondence.  Provide the title of a specific person to be the
Procedure for acceptance by the College of Bishops
This request for communion with the ACIC will be presented to the College of Bishops of the
ACIC as soon as practicable.  It will require the recommendation of two bishops now members of
the College of Bishops before a vote will be cast.  A majority of Bishops voting is required at the
time of the College meeting.
Return signed document and information form to:
The Rt. Rev. Dr. Larry Wilson Johnson
Secretary General
The Anglican Church International Communion
Bishop, Anglican Church of Virginia