District License Application

District License Application

Los Angeles District
APPLICATION FOR A DISTRICT MINISTER’S LICENSE
Church of the Nazarene
Instructions: This application should be provided to the district secretary or the district superintendent at least two weeks prior to your scheduled interview or by the deadline set by your district, if earlier. The District Ministerial Credentials Board or Board of Ministry will use it to consider your request for a district minister’s license.
Choose One

First Time Minister's LicenseRenewal of Minister's License
Choose One

Elder TrackDeacon TrackNot Pursuing Ordination (530.4)
Name

First NameLast Name
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
District
Local Church Membership
Birthplace
Marital Status
Date of Marriage (If Applicable)

MonthDayYear
Date
Spouse's Name

First NameLast Name
Spouse's Birthdate

MonthDayYear
Date
Spouse's Birthplace
Children
Education History
What part of a validated Course of Study for Ministers have you completed?

1/41/23/4ALL
Total number of lifelong learning hours completed this year:
(Note: Twenty hours of lifelong learning is the minimum expectation each year, according to Manual 529.6.)
Are you now enrolled or do you plan to enroll in one of our Nazarene institutions?

YesNo
If yes, which one?
Religious Experience
Describe your call into the ministry:
Describe your conversion:
Are you entirely sanctified?

YesNo
Share your experience with entire sanctification
Have you had any spiritual lapses since your conversion and sanctification?

YesNo
If yes, please explain:
Church Relations
Record of Church Membership (last five years)Year Church*
First local minister’s license was issued by which local church:
Date of first local license

MonthDayYear
Date
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

MonthDayYear
Date
First district minister’s license was issued by which district:
Date of first district license

MonthDayYear
Date
Record of Licensed Ministry*
If currently assigned as an associate pastor (PSV), is the assignment:

Full Time?Part time?
Have you ever been involved in church trouble of any kind?

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
What experience have you had so far in preaching?
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 questions, please explain
How many would you estimate were sanctified under your ministry during the past two years?
Personal Information
Are you in good health?

YesNo
If no, state particulars
Are your spouse and children in good health?

YesNo
If no, state particulars
Are there physical irregularities in your family that would hinder your ministry?

YesNo
If yes, please explain
Does your spouse support you in your commitment to fulfill your calling?

YesNo
If no, please explain
Configurable list
Are you behind on any debt or obligation?

YesNo
If yes, please explain
Have you been divorced?

YesNo
Has your marriage been annulled? (If the marriage was consummated, the annulment would be treated as a divorce; if it wasnot consummated, the annulment would not be treated as a possible barrier to ordination.)

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? (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
Applicant’s Signature:

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Today's Date

MonthDayYear
Date
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.”
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.

Applicant Statements and Agreed Code of Conduct
Please check each of those below sign your name at the bottom agreeing to each of the following statements*

I declare that all statements contained in these applications are true and that anymisrepresentation or omission is cause for rejection of my application, or dismissal from myemployment or ministry involvement.I understand that my references and contacts from prior church or non-church work withchildren, student, or adults may be contacted and that an appropriate criminal backgroundcheck will be conducted. I authorize investigations of all statements contained in thisapplication and I specifically authorize the church to undertake a criminal background checkof my past.I understand that I can withdraw from the application process at any time.I understand that The Church of the Nazarene has a policy of ZERO TOLERANCE FORABUSE and takes all allegations of abuse seriously. I further understand that the Churchcooperates fully with the authorities to investigate all cases of alleged abuse. Abuse of anykind is grounds for immediate dismissal from my employment and possible criminal charges.I declare that I am not a pedophile or child molester. I have not perpetrated physical abuse,sexual abuse, emotional abuse or neglect against a child, a student or disabled adult, and Ihave never been accused of these acts.I understand and agree that false statements and/or omissions regarding past conductand/or present situations may be grounds for denial of this application for employment, andthat refusal to inform The Church of the Nazarene of the contents of a sealed criminalrecord will result in the automatic denial of the application.
Signature*

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Background Check
Have you completed a LiveScan at your local church?

YesNo

Schedule your interview
Please select your interview time. Please understand that if this is your first district license, you are divorced, or translation is needed we we have extended time slots available to accommodate for a longer interview. Please select accordingly. All interviews will be conducted at Newhall Church of the Nazarene at 23857 The Old Rd, Newhall, CA 91321*
Please plan to arrive 15-20 minutes prior to your interview. This will allow us to ensure all interviews are timely.
Do you need translation?

YesNo
If yes, what language?
It will be your responsibility to make sure the following forms are turned in on your behalf. Be sure to pass these links on to them.

Mentor Recommendation

Supervisor Recommendation

Local Church Board Recommendation
Should be Empty:

District License Application

Religious Experience

Church Relations

Personal Information

Applicant Statements and Agreed Code of Conduct

Background Check

Schedule your interview