District License Application

Choose One:*

Minister's LicenseRenewal of Minister's License

Choose One:*

Elder TrackDeacon TrackNot Pursuing Ordination

Is this your first district license application on the Chicago Central District?*

YesNo

Name*

First NameLast Name

Sex*

MaleFemale

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Phone Number*

Please enter a valid phone number.

Mobile Phone Provider*

Email*

example@example.com

District*

Local Church Membership*

Birthdate*

Birthplace*

Current Marital Status*

SingleMarriedDivorcedWidowed

Marriage Date*

Spouse's Name*

First NameLast Name

Spouse's Birthdate*

Spouse's Birthplace*

Children

	Name	Sex	Birthdate
Child 1
Child 2
Child 3

Please list any other children and their information below:

Please list any updates to your contact information (address, phone, email) or family status (marriage, children) since your last application:*

List "None" if all information is up-to-date

List all schools attended and degrees earned.

	Name	Year Graduated	Degree	Major/Minor
High School
College/University
College/University
College/University
Bible College
Seminary
Other

What part of a validated Course of Study for ministers have you completed?*

1/42/43/4All

Are you now enrolled or do you plan to enroll in one of our Nazarene institutions?*

YesNo

If yes, which one?*

Total number of lifelong learning hours completed this year :*

Note: 20 hours of lifelong learning is the minimum expectation each year, according to Manual 529.6, for those that have completed the Course of Study and are not in a degree program.

Please list any new degrees earned since your last application:*

List "None" if all information is up-to-date

Describe your call into the ministry.*

Describe your conversion.*

Are you entirely sanctified?*

YesNo

Share your experience:*

Have you had any spiritual lapses since your conversion and sanctification?*

YesNo

If yes, please explain:*

Please share any updates on your spiritual journey regarding the call to ministry, salvation, and/or sanctification since your last application:*

List "None" if all information is up-to-date

Have you had any spiritual lapses since your last application?*

YesNo

If yes, please explain:*

Record of Church Membership

	Church Name	Year(s)	Role

Where did you serve for the past 12 months and what was your role?*

First local minister's license was issued by which local church?*

Date first local license issued:*

Have you ever been district licensed or ordained in the Church of the Nazarene?*

YesNo

If yes, list the most recent district that granted you a district license along with the date it was granted or the year of ordination and district on which it took place.*

Date*

Record of Licensed Ministry

	Year	District Licensed By	Role	Local Church

If currently assigned as an associate pastor (PSV), the assignment is:*

Full-Time (30+ hours/week)Part-Time (5-29 hours/week)Current role is not PSV

Is your current role considered full-livelihood? (Full-livelihood means you receive more than 50% of your personal income for this position)*

YesNo

Have you ever been involved in church trouble of any kind?*

YesNo

If yes, please explain:*

Have you been involved in church trouble of any kind since your last application?*

YesNo

If yes, please explain:*

Are you in full sympathy and hearty accord with the standards, doctrines, and government of the Church of the Nazarene?*

YesNo

Will you wholeheartedly support the Church and its institutions?*

YesNo

If no to either of the above two questions, please explain:*

What experience have you had so far in preaching?*

What experience have you had preaching this past year?*

Do you sense the urgency of Christians being entirely sanctified?*

YesNo

Does your ministry result in the sanctification of believers?*

YesNo

If no to either of the above two questions, please explain:*

How many would you estimate were sanctified under your ministry during the past two years?*

Are you in good health?*

YesNo

If no, state particulars:*

Are your spouse and children in good health?*

YesNoN/A

If no, state particulars:*

Are there physical irregularities in your family that would hinder your ministry?*

YesNoN/A

If yes, please explain:*

Does your spouse support you in your commitment to fulfill your calling?*

YesNoN/A

If no, please explain:*

Please list your current financial debts. (Note: if you are debt-free, please list "No Debt")

	Financial Debt	Amount

Are you behind on any debt or obligation?*

YesNo

If yes, please explain:*

Have you been divorced?*

YesNo

Has your marriage been annulled?*

YesNo

Was the marriage consummated?*

YesNo

Have you ever had a legal separation?*

YesNo

Details of said divorce/annulment/legal separation of the applicant must be submitted to the Board of General Superintendents for its review, in accordance with Manual paragraph 320 and specifications in paragraph 530.1 (#7, #8). “have had any disqualification, which may have been imposed by a district assembly, removed by an explanation in writing by the district superintendent and the District Advisory Board of the district where the disqualification was imposed; and provided further that their marriage relationship does not render them ineligible for a district license; and in case of a previous divorce, the recommendation of the District Board of Ministry District Ministerial Credentials Board along with supporting documents will be given to the Board of General Superintendents, which may remove this as a barrier to pursuing a license.”

Have you already submitted the supporting documents? Note: If these details have not been submitted, immediate contact should be made with the District Secretary.*

YesNo

Has your spouse been divorced, had an annulment, or a legal separation?*

YesNo

If yes, please identify any of these that are applicable here:*

If married, are you now living with your spouse?*

YesNo

If no, what are your reasons?*

Have you ever been arrested, convicted, or pled "no contest" at any time?*

YesNo

Have you ever been accused of child molestation, exploitation, or abuse?*

YesNo

If yes to either of the above questions, please explain:*

A WORD TO APPLICANTS

The Manual of the Church of the Nazarene is specific in matters pertaining to the licensed ministry of the church. These sections should be read carefully and the necessary requirements met before application is made for a district license. List the paragraph numbers from the Manual indicating the portion you have read dealing with the “Call & Qualifications of the Minister” and “The Licensed Minister.”

Paragraphs Read:*

The General Assembly has outlined the COURSE OF STUDY in the Manual and it is detailed in the regional Sourcebook on Ordination. This course will be supervised by the District Ministerial Studies Board. Information may be secured by contacting the chairperson of this board, or you may consult with your local pastor.

Signature*

Date*

Date

District License Application

APPLICANT INFORMATION

EDUCATION INFORMATION

RELIGIOUS EXPERIENCE

CHURCH RELATIONS

PERSONAL INFORMATION