Application for District License
Instructions: Fill in the application. When you reach the last page, there will be a "Done" icon at the end. Be sure to type your name in the signature block at the end, understanding that this will be recognized as a legal signature and that this is an official document. Having fully completed your application click "Done". You will be directed to a Thank You page indicating that your application has been submitted. 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. At the end of the application there will be a place for you to list the paragraph numbers from the Manual indicating the portions you have read dealing with the "Call & Qualifications of the Minister" and "The Licensed Minister."
APPLICANT'S INFORMATION
Date you are filling out and submitting your application.
*
-
Month
-
Day
Year
Date
You are applying for...
*
Minister's License
Renewal of Minister's License
On the _______ track.
*
Elder
Deacon
Minister's License
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Local Church Membership
*
Please Select
Anthem Fort Myers
Arcadia First
Arcadia Haitian
Avon Park First
Avon Park Hispanic
Belle Glade Evangelical
Bradenton Bayshore
Bradenton Bayshore First Hispanic
Bradenton First Haitian
Cambios Church
Cambios Church Pompano Beach
Cambios Church Pembroke Pines
Conexcion Church Ft Myers
Conexcion Church Kendall
Delray Beach United Haitian
Doral
Eglise de Jesus Christ du Nazareen
Eglise Nazareen de la Grace
El Reino de Dios (Homestead Hisp 2)
Englewood Crosspoint
Family Church Naples
Faro de Esperanza
Fort Lauderdale Dayspring International
Fort Lauderdale Faith
Fort Lauderdale Hosanna Center of Peace
Fort Lauderdale Manor
Fort Lauderdale Morija
Fort Myers Solid Rock
Fort Pierce Faith Haitian
Fort Pierce First
Fort Pierce Philadelphia
Fort Pierce Sonrise Celebration
Goulds First
Greenacres Jesus es el Camino
Gulf Coast (Bradenton First)
Hialeah Good Shepherd
Hollywood
Homestead
Homestead Haitian
Homestead Hispanic
Homestead Good Samaritan
Immokalee
Indiantown Evangelical
Joy Church
Key Largo
Lake Placid
Lake Worth El Mesias
Lake Worth First
Lake Worth Getsemani
Lake Worth Gran Comision
Lake Worth Guatemala Mayan
Lake Worth House of Grace
Lake Worth New
Lehigh Acres
Miami Berea
Miami Bethany
Miami Beth-El
Miami Calvary
Miami Caminando por Fe
Miami Central
Miami Deliverance
Miami Ebenezer
Miami Emanuel
Miami Evangelical
Miami First
Miami Good Shepherd
Miami Holy
Miami Hope
Miami Hosanna
Miami Jesus Mi Fiel Amigo
Miami Ministerio Casa de Alabanza
Miami Peniel
Miami South Miami Heights
Miami The Conquerors
Miami You are Church
Naples Bayshore Community
Naples Faith Community
Naples First
Naples First Hispanic
Naples First Hispanic (Lehigh campus)
Naples Hispanic #5
Naples Iglesia del Nazareno
North Ft Myers
North Miami
North Miami Beach
North Port Coastal Community (Inactive)
Oakland Park Holy Life
Okeechobee
Okeechobee Hispanic
Pahokee First Hispanic
Palm Beach Gardens Northlake Boulevard
Palm City New Hope
Palm City New Hope Haitian PAC
Pompano Beach First
Port Charlotte Genesis Christian
Port St Lucie
Port St Lucie Evangelical
Port St Lucie Primitive
Princeton
Princeton Hispanic
Punta Gorda First
Redland
Renew Church (Miami)
Renew Homestead
Restauracion en Cristo
Restoration Church of the Nazarene
Sarasota Trinity
Sebring
Stuart Evangelical
The Florida Keys (parent org.)
Venice
Wauchula Casa de Misericordia
West Palm Beach Belen
West Palm Beach Betel
West Palm Beach First
West Palm Beach Maranatha
West Palm Beach Melchizedek Grace
Other
Other Church
Gender
*
Male
Female
Birth Date
*
-
Month
-
Day
Year
Date
Birthplace
*
Social Security #
*
Marital Status
*
Single
Married
Divorced
Date of Marriage
-
Month
-
Day
Year
Date
Spouse's Name
Spouse's Birth Date
-
Month
-
Day
Year
Date
Spouse's Birthplace
Children
Name
M or F
Birthday
Child's Name
Child's Name
Child's Name
Child's Name
Child's Name
Child's Name
Child's Name
EDUCATIONAL INFORMATION
7. Education Information
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?
*
None
1/4
1/2
3/4
All
Total number of lifelong learning hours completed this year: ( (Note: Twenty hours of lifelong learning is the minimum expectation each year, according to Manual 521.6.)
*
Are you now enrolled or do you plan to enroll in one of our Nazarene institutions?
*
Yes
No
If yes, which Nazarene institutions?
Religious Experience
1. Briefly describe your call into the ministry.
*
2. Briefly describe your conversion.
*
3. Are you entirely sanctified?
*
Yes
No
If yes to question 3, briefly share your experience.
4. Have you had any spiritual lapses since your conversion and sanctification?
*
Yes
No
If yes to question 4, please explain.
Church Relations
5.. Church Membership (last five years)
Year
Church
Served as
Describe
Describe
Describe
Describe
Describe
Describe
Describe
6a. First local minister's license was issued by which local church? Date?
6b. Have you ever been district licensed or ordained in the Church of the Nazarene?
*
Yes
No
If yes to question 6b, 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:
6c. First district minister’s license was issued by which district:
7a. Record of Licensed Ministry
Year
Licensed by District
Served as
Place
Describe
Describe
Describe
Describe
Describe
Describe
Describe
7b. If currently assigned as an associate pastor (PSV), is the assignment:
Full-time
Part-Time
8. Have you ever been involved in church trouble of any kind?
*
Yes
No
If yes to question 8, please explain.
9. Are you in full sympathy and hearty accord with the standards, doctrines, and government of the Church of the Nazarene?
*
Yes
No
10. Will you wholeheartedly support the church and its institutions?
Yes
No
11. What experience have you had thus far in preaching?
12a. Do you sense the urgency of Christians being entirely sanctified?
Yes
No
12b. Does your ministry result in the sanctification of believers?
Yes
No
If no to question 12 to either of the above questions, please explain.
13. How many would you estimate were sanctified under your ministry during the past two years?
Personal Information
14. Are you in good health?
*
Yes
No
If no to question 14, state particulars.
15. Are your spouse and children in good health?
Yes
No
If no to question 15, state particulars.
16. Are there physical irregularities in your family that would hinder your ministry?
Yes
No
If yes to question 16, state particulars.
17. Does your spouse support you in your commitment to fulfill your calling?
Yes
No
If no to question 17, state particulars.
18. Financials debts; add amounts as well in explanation
Vendor
Amount
Explanation
Debt
Debt
Debt
Debt
Debt
Debt
19. Are you behind on any debt or obligation?
Yes
No
If yes to question 19, please explain.
20a. Have you been divorced?
*
Yes
No
20b. Has your marriage been annulled? (*Note: 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.)
Yes
No
20c. Was the marriage consummated?
Yes
No
20d. Have you ever had a legal separation? (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 524.1 (#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.”)
Yes
No
20e. Have you already submitted the supporting documents? (If these details have not been submitted, immediate contact should be made with the District Secretary.)
Yes
No
21. Has your spouse been divorced, had an annulment, or a legal separation?
Yes
No
If yes to either of the above questions 21, please explain:
22. If married, are you now living with your spouse?
Yes
No
If no to questions 22, please explain:
23a Have you ever been arrested, convicted or pled "no contest" at any time?
Yes
No
23b Have you ever been accused of child molestation, exploitation or abuse?
Yes
No
If yes to either of the above questions 23, please explain:
Signature & List of Manual Paragraphs Read
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.Please indicate if you have read these sections.
*
Yes, I have read these sections of the Manual.
No, I have not yet read these sections of the Manual.
List the paragraph numbers from the Manual indicating the portions you have read dealing with the "Call & Qualifications of Ministry" and "The Licensed Minister."
The General Assembly has outlined the COURSE OF STUDY in the Manual and 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 chairman of the district board, or you may consult with your local pastor.
*
I am aware of the Course of Study and am in contact and enrolled with the Board of Ministry - Studies.
Other
Signature
*
Date
*
-
Month
-
Day
Year
Date
Please verify that you are human
*
Continue
Continue
Should be Empty: