ODC Credentials

Click to open application
Please select your pastor from drop down box below. Your pastor must be on this list to proceed with electronic renewals.
Please Select Pastor's Name*
Applicant E-mail*
Full Name*

First NameMiddle NameLast NameTitle
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Cell Phone
Birth Date*

MonthDayYear
Church Name
Pastor's Name*
Type of Credentials and Fee*
Credential Status
Position
Enter PAW Invoice amount $0*
5% PROCESSING FEE (automatically generated)
TOTAL AMOUNT OWED TO PAW (automatically generated)
If you are currently holding credentials, are you current?

YesNoNot Sure
Are you current on your ODC $15 a year dues?*

YesNoNot Sure
Expires

MonthDayYear
License/Ordained ID#
Comments
Signature-Use computer mouse to sign your name*

Clear
Click the word "clear" to your right to sign again

Pastor ONLY click to open
Pastor Full Name

First NameLast Name
APPROVAL STATUS*

YES, I approveNo, I do not approve
If no add comments
Pastor's Signature- Use computer mouse to sign below.*

Clear
Click "clear" to the right to sign again
Secretary Approval
Amount Owe
CREDENTIAL OFFICE USE ONLY
Type of credentials
Hardship/Senior
Processed by
Amount Due
Type of payment
Cashier
Other
Submit to Dawkins for national.

YesNo
Should be Empty:

Secretary Approval