Credentials Application

Credentials Application

Please fill the following application out as honestly and fully as possible. This is one of your first steps in the amazing journey of fulfilling your calling in Christ as a proclaimer of the Gospel.
Name

First NameLast Name
Maiden Name
If None Leave Blank
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Have you ever applied for ministerial credentials?
What is your marital status?
Name of Spouse
Name and Age of Children
Education History

Please provide information about the schools or educational institutions you have attended, beginning with the most recent.
Most Recent School / Institution
City & State
Year Began
Year Ended
Completion Status

Other
Degree / Diploma / Certificate Earned
Example: B.A., M.Div., High School Diploma, Certificate in Biblical Studies
Major / Field of Study
Previous School / Institution #2
City & State
Year Began
Year Ended
Completion Status

Other
Degree / Diploma / Certificate Earned
Example: B.A., M.Div., High School Diploma, Certificate in Biblical Studies
Major / Field of Study
Previous School / Institution #3
City & State
Year Began
Year Ended
Completion Status

Other
Degree / Diploma / Certificate Earned
Example: B.A., M.Div., High School Diploma, Certificate in Biblical Studies
Major / Field of Study
Additional Education or Ministry Training
Please list any additional schools, ministry training, certifications, or educational programs not included above.
Work History

Please provide your employment history for the past 10 years, beginning with your current or most recent employer.
Employer #1 — Current/Most Recent
City / State
Position / Job Title
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date — Month/Year
Brief Description of Responsibilities
Previous Employer
City / State
Position / Job Title
Start Date — Month-Year
End Date — Month-Year
Brief Description of Responsibilities
Previous Employer
City / State
Position / Job Title
Start Date — Month-Year
End Date — Month-Year
Brief Description of Responsibilities
Additional Employment History
If needed, please provide any additional employment necessary to complete your work history for the past 10 years.
Church History

Please provide your church history for the past 10 years, beginning with your current church.
Church Name — Current/Most Recent
City & State
Pastor's Name
Date Began — Month-Year
Date Ended — Month-Year
Previous Church Name
City & State
Pastor's Name
Date Began — Month-Year
Date Ended — Month-Year
Additional Church History If Neccecary
Salvation Experience

Please give the highlights of your salvation experience.
Briefly share how you came to faith in Jesus Christ and the significant circumstances or experiences surrounding your decision to follow Him.
Call to Ministry

Please give the highlights of your call to ministry
Briefly describe how you sensed God's call to ministry and the significant experiences, people, or circumstances that helped confirm that calling.
Current Ministry
Please describe the ministry in which you are currently engaged.
Briefly describe your current ministry involvement, responsibilities, and the people or community you serve.
Are you currently serving in a recognized staff position where you attend?
Please describe your current staff position and responsibilities.
How does the ministry you are currently performing require formal recognition or credentials?
Ministry & Credentialing
What ministry are you currently doing that you could not do without credentials?
Why do you want formal recognition in the Church of God?
Doctrinal Understanding
Are you familiar with the doctrinal teachings that have been historically held by the Reformation? Please briefly describe your understanding and beliefs.
For example: Do you believe in eternal security (“once in grace, always in grace”)? Do you believe that Jesus is coming back to establish His kingdom on this earth? What do you believe about speaking in “unknown” tongues and being slain in the Spirit? Do you believe that a person can be saved apart from the shed blood of Jesus? Please give very brief answers.
Covenant Affirmation
I affirm that ministry credentials place me in a covenant relationship with the Church of God.
Background & Credentialing History
Have you ever been, or are you currently, the subject of any official proceedings by any church?
Please explain.
Has your application for ministerial credentials from another church body ever been denied?
Please Explain.
Have you ever been the subject of official disciplinary proceedings by a professional association?
Please Explain.
Have you ever been censured, disciplined, or had your ministry credentials suspended or terminated?
Please Explain.
Applicant Certification
By submitting this application, I certify that the information I have provided is true and complete to the best of my knowledge. I understand that this application is part of the credentialing process and may be reviewed by the appropriate representatives of Illinois Ministries and the Church of God.
I have read and affirm the statement above.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Credentials Application

Education History

Work History

Church History

Salvation Experience

Call to Ministry

Current Ministry

Ministry & Credentialing

Doctrinal Understanding

Covenant Affirmation

Background & Credentialing History

Applicant Certification