Pre-Application

Level of Credential you are applying for:*

Certified
License
Upgrade to License
Upgrade to Ordination

Personal Information

Name*

First Last

Date of Birth*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Spiritual Background

Have you had a born-again salvation experience?*

Yes
No

Have you been baptized in water by immersion?*

Yes
No

Have you been baptized in the Holy Spirit with the evidence of speaking in tongues?*

Yes
No

Ministry Background

Do you sense a call to ministry?*

Yes
No

What schooling have you completed?*

High School Graduate?
College or University?
MNSOM classes?
Berean classes?
Other classes

Name of College or University Attended, and Degree Earned.*

Type "none" if not applicable.

What ministry are you actively involved in?*

What church do you currently attend?*

Marital Background

Married?*

Yes
No
No, but engaged

Spouse/Fiance name:*

type "none" if not applicable.

Do you, your spouse, or fiance' have a former spouse that is still living?*

Yes
No

Additional Background

Have you ever filed for bankruptcy?*

Yes
No

Do you have any felony or misdemeanor charges on your record? If so, what?*

I have read the Credential Handbook and am aware of all mandatory dates and deadlines.*

Yes

Call to Ministry.

In a few sentences, please describe your call to ministry and need for credentials.*

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Credential Pre-Application

Personal Information

Spiritual Background

Ministry Background

Marital Background

Additional Background

Call to Ministry.

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