DBMD Form No. 1

DBMD Form No. 1

Personal Data Inventory Questionnaire
Instructions:

This inventory is designed to introduce you to your District Board of Ministerial Development (DBMD) as you apply for district ministerial standing. You are expected to fill out the inventory frankly and carefully in order that the DBMD might better know you and your background, and thereby assist you in your progress toward earning your ministerial credentials. You are responsible to answer all applicable questions. If space is inadequate, feel free to attach supplemental sheets.
Full Name*

First NameLast Name
E-mail*
example@example.com
Sex:*

MaleFemale
Cell Phone
Work Phone

MILITARY RECORD
Do you have a military record?*

YesNo
List branch of service, rank and years served.
Discharge Type
Special Training

FAMILY DEPENDENTS
How many children do you have?*
Details of Children (list in order)
List other dependents, if not listed above.

HEALTH INFORMATION
Do you have any serious health or emotional issues that affect your ability to minister to others? If so, state the nature of these.*
What do you consider your present state of health to be?*

OTHER PERSONAL DATA
Give names of all patriotic, civic, social, fraternal, or athletic societies to which you belong or have belonged.
Type "none" if this doesn't relate to you.
Have you ever been a member of any organization commonly considered politically subversive?

YesNo
If yes, please explain below.
Have you ever been a user of tobacco, alcohol, or other harmful drugs?*

YesNo
If yes, please explain how you were delivered from such uses.
What is your attitude toward the above practices or other personal habits which are injurious physically or hurtful to one's influence?
Have you ever been convicted of, or pled guilty or “no contest” to, any criminal offense?

YesNo
If yes, explain fully on a separate sheet (identify each conviction or plea of guilty, when and where each incident occurred, and the sentence received).

Cancelof

EDUCATIONAL RECORD
List the name, dates attended, degree or certificate of each high school, university, and seminary you have attended.
If you have a high school equivalency diploma, give number and year of issue:
Are you enrolled, or do you plan to enroll, in one of our Wesleyan universities, Wesley Seminary or one of the General Board-approved seminaries?
Have you completed any part of the education requirements for the credential you are pursuing?

YesNo
If yes, what education requirements have you completed?
Are you aware of the education requirements for the credential you are pursuing and, if licensed by the district, is it your purpose to pursue immediately any remaining education requirements to be credentialed?*

YesNo

RELIGIOUS EXPERIENCE & CHURCH RELATIONSHIP
List the church or churches you have attended.
Of which local Wesleyan church are you now a member?
How long have you held membership in that church?
Is your spouse or fiance a member of a Wesleyan Church? If not, in what church does she/he hold membership?
Describe the relationships which have existed between you and your local church(es).
When were you converted?
Describe your Christian development.
When were you baptized?
Are you entirely sanctified?

YesNo
If not, will you seek this experience and walk in the light God reveals regarding this experience?
Have you ever held any ministerial position with any church or religious institution? If so, state institution(s) and dates.
Have you ever resigned from, or been dismissed from a ministerial church or religious institution position? If yes, explain fully (describe when and where each resignation or dismissal occurred, and the basis for each such case).
Do you feel a definite call to the Christian ministry?
Describe how you were called.
Is it your goal to make the ministry your life's work?
Do you feel led to any specific type of ministry at this time?
Describe your personal Bible reading and prayer habits.
Describe your practice of personal evangelism.
Describe your involvement in the lives of others which is producing spiritual growth on their part.
Discipline 465 states:

"Storehouse tithing is a scriptural and practical performance of faithfully and regularly placing the tithe into that church to which the member belongs. Therefore, the financing of the church shall be based on the plan of storehouse tithing, and The Wesleyan Church shall be regarded by all its people as the storehouse. All who are a part of The Wesleyan Church are urged to contribute faithfully one-tenth of all their increase as a minimum financial obligation to the Lord and freewill offerings in addition as God has prospered them.”
Do you believe in, and are you practicing, storehouse tithing as defined in Discipline 465?
Have you read, and do you fully subscribe to, the Articles of Religion of The Wesleyan Church as found in the Constitution? (See the Article of Religion located in paragraphs 210-250 of the Discipline.)
State any reservations you may have at this time regarding the Articles of Religion.
What reservations do you have in promoting the Guides and Helps to Holy Living (260-268) in a local church where you may serve.
Can you support the entire Church with her departments and institutions?
Have you read and do you meet the membership conditions (553-558) and The Guides and Helps to Holy Living (260-268) of The Wesleyan Church.
State any reservations.
What preaching experience have you had?
What local church offices have you held?
Are you prepared to report regularly to the district?

YesNo
Describe any hesitancy you may have in accepting the authority, discipline, nurture, and guidance of the District Board of Ministerial Development regarding their evaluation of your gifts, graces, and usefulness as you work toward ordination.
Why have you chosen to minister as a part of the Wesleyan Church?
Have you been a credentialing candidate in another denomination or local church?
Explain the circumstances under which you left the previous denomination/church.
The Wesleyan Church believes God calls women and men into ordained or commissioned ministry. Will you support and advocate for this position?
Do you believe and can you articulate the ordination and commissioning of men and women as biblically and theologically sound?
Please sign the following statements:I understand that ordination/commissioning by The Wesleyan Church is a privilege granted me, not a right that I claim. I hereby acknowledge the authority of the Church in granting ordination/commissioning to those who, after thorough examination, are believed to have the gifts, graces, fruit and call of God. Further, I understand that though I may complete all academic requirements for ordination, it does not guarantee my ordination/commissioning.

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The information provided on this form is confidential. It is only for use by the Wesleyan District Board of Ministerial Development and Wesleyan Church officials, and will not be released or provided to any other parties. I hereby freely give permission for the use of this information by the district and general officials of The Wesleyan Church, and waive my right to examine any confidential information about me provided by other persons.

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Thank you for taking the time to complete this form!

The information you provided on this form is confidential. It is only for use by the South Coastal District Board of Ministerial Development and Wesleyan Church officials and will not be released or provided to any other parties.

By typing your name and submitting below, you hereby freely give permission for the use of this information by the district and general officials of The Wesleyan Church and waive your right to examine any confidential information about yourself provided by other persons.
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DBMD Form No. 1

MILITARY RECORD

FAMILY RELATIONSHIPS

MARTIAL STATUS

FAMILY DEPENDENTS

HEALTH INFORMATION

OTHER PERSONAL DATA

EMPLOYMENT AND FINANCES

EDUCATIONAL RECORD

RELIGIOUS EXPERIENCE & CHURCH RELATIONSHIP