Credential Candidate Questionnaire
Once we receive this completed form we will be in contact with you regarding the next steps.
Full Name
*
First Name
Middle Name
Last Name
Spouse Name
First Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Email Address
*
example@example.com
Credential you are applying for?
*
Certified Minister
Licensed Minister
Ordained Minister
Personal History
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Marital Status
*
Single
Married
Divorced
Widowed
Remarried
Do you or your spouse (if married) have a living former spouse(s)?
*
Yes
No
Have you ever engaged in a homosexual experience?
*
Yes
No
Have you ever filed for bankruptcy?
*
Yes
No
Do you have a current or past tax lien?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Have you completed your educational requirements for the Credential level you are applying for?
*
Yes
No
Don't know
Bible School/ University: check all that apply
*
Iowa School of Ministry
Berean School of Bible
North Central University
Evangel University
Trinity College
Global University
Other
Level Completed/ Degree:
*
ex. Bachelor's of Science
Have you completed Ag History, Missions & Governance course?
*
Yes
No
Have you completed The Spirit Empowered Church?
*
Yes
No
What church do you currently attend?
*
Does your Lead Pastor support you seeking credentials?
*
Yes
No
Other
Have you been born again according to John 3:5?
*
Yes
No
Have you been baptized in water according to Matthew 28:19?
*
Yes
No
Have you received the baptism in the Holy Spirit with the initial physical evidence of speaking in other tongues according to Acts 2:4?
*
Yes
No
Why are you applying for credentials? :
*
Submit
Should be Empty: