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Request A Credential Application
Name
*
First Name
Last Name
Credential Level You are Seeking
*
Please Select
Certified - New Minister
Licensed - New Minister
Licensed - Upgrade
Ordination
Reinstatement
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Way to Contact You
*
Please Select
Email
Phone Call
Text
Church You Attend
*
Full Church Name and City
Have you ever been married?
*
Yes
No
What is your current marital status?
*
Married
Single
Have you ever been divorced?
*
Yes
No
Has your spouse ever been divorced?
*
Yes
No
Have you ever filed for bankruptcy?
*
Yes
No
In the last seven years(or since your conversion, if less than seven years ago) have you had sexual contact/ activity outside of a biblically defined marriage (such as incest, adultery, homosexual activity, ect.) or been engaged in or involved with pornography?
*
Yes
No
For the sake of adhering to the highest of ministerial standards, will you abstain from alcohol, tobacco or other smoking, gambling, pornography, recreational or illegal drug usage, or any sinful behaviors specifically prohibited by scripture?
*
Yes
No
Have you been filled with the Holy Spirit with the evidence of speaking in tongues as in Acts 2?
*
Yes
No
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