Ministerial Credentials Application

Application for Ministerial Credentials

To apply for ministerial credentials with the IMN, please complete all questions.
Full Name*

PrefixFirstMiddle NameLastSuffix
After application submission, you will receive an email from Checkr Background Check company. They will direct you to their site for you to input sensitive information and consent to the background check. Do you give your consent to participate in a mandatory background check?*

YesNo
Social Security Number
Required for background check
Please Attach Current Photo*

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Credential level for which you are applying:*

Ordination ($300 year)License ($300 year)Affiliation ($150 year)
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Cellular Number*

Area CodePhone Number
Home Number

Area CodePhone Number
Work Number

Area CodePhone Number
Website
Date of Birth*

MonthDayYear
Date
Place of Birth*
Gender*

MaleFemale
Marital Status*

MarriedSingleDivorcedWidowedOther
Have you or your spouse ever been divorced?*
If Applicable
If yes to above question, please give divorce date
If applicable
Spouse Name
If Applicable
Spouse Birth Date

MonthDayYear
Date
Names and Birth year of All Children
Ethnicity
Have you ever filed for bankruptcy?*

YesNo
If yes to above question, please provide a brief description.
Have you ever been convicted of a felony or misdemeanor? (Excluding moving violations)*

YesNo
If yes to the above question, please provide a brief description.
Ministry Service Location*
Area where you are currently ministering: City/State/Country.
Describe why you are serving in ministry? What is your calling in the ministry?*
Have you, in the past or presently, held/hold credentials with a church, denomination or other credentialing body?*

YesNo
If yes to question above, please enter:
The name of the credentialing or ministerial body.
Start Date of Past Credentials:

MonthDayYear
Date
End Date of Past Credentials:

MonthDayYear
Date
If approved, are you willing to provide evidence of termination of past credentials?

YesNo
Have you been baptized in water according to Matthew 28:19?*
Have you been baptized in the Holy Spirit?*
What is your belief and practice in tithing?*
In which church (or ministry) are you currently active?*
Name of church with location
Type of ministry currently engaged:*

Lead PastorStaff PastorMissionaryTeacher/ProfessorOther
Please explain the governing structure of your church (or ministry).
Why do you desire to obtain credentials with the IMN?*
What Bible or Formal Ministry Training Have You Completed?*

Formal Bible CollegeCorrespondence CoursesMinistry School/Training ProgramNoneOther
Please Type Name of Formal Training Program and Location:
If Applicable
Completion Date of Formal Training Program:

MonthDayYear
Date
Attach a Resume:*

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Attach Copy of Official Transcripts/Graduation Certificate Below:

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Attach Two Pastoral Reference Letters (#1)

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Pastoral Reference #1 Cancelof
Attach Pastoral Reference (#2)

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Pastoral Reference #2 Cancelof
Attach a Friend Reference Letter

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Friends Reference #1 Cancelof
Attach a Employer/Past Employer Reference

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Employer Reference #1 Cancelof
How did you hear about IMN?

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Application Fee$100.00

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Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

First Name Last Name am willing to abide by the constitution and the bylaws set forth by the International Ministry Network of Churches. Signature
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Application for Ministerial Credentials