District Minister's License Application
The District Ministerial Studies & Credentials Board will refer to the following responses for all district licensed applicants. DUE: 1/27/25
General Information
1. Name
*
First Name
Last Name
2. Email
*
example@example.com
3. Phone Number
*
4. Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
5. Choose One:
*
Male
Female
6. Choose One:
*
Elder Track
Deacon Track
7. Local Church Membership:
*
8. Birth Date:
*
-
Month
-
Day
Year
Date
9. Birth Place:
*
10. Social Security Number or Government ID# (for background check purposes):
11. Please list any current occupation(s), other than your assigned church ministry.
12a. Current Marital Status:
*
Single
Married
Widowed
Divorced
12b. If married, list marriage date:
12c. If married, list spouse's name:
12d. If married, list spouse's date of birth:
12e. If married, has your spouse ever been divorced, had an annulment or legal separation?
YES
NO
12f. If married, are you now living with your spouse?
Yes
No
12g. If previously divorced, have you submitted the necessary documents to the District Superintendent and met with the Credentials Board?
Yes
No
13. If you have children, please provide the following information:
Name
Gender
Current Age
Child
Child
Child
Child
Child
Child
Education Information
14. List all schools you are currently attending or have attended:
*
School Name
Years Attended
Degree Earned
Minor/Major
Undergraduate
College/University
Bible College
Undergraduate
College/University
Bible College
Undergraduate
College/University
Bible College
Graduate School/
Seminary
Other
15. I have received confirmation from the Ministerial Studies Secretary that I have completed the necessary coursework in this past year to apply for either a first district license (6 classes), or renewal for a district license (2 classes in the past year).
*
Yes
No
16. I confirm that I have earned a passing grade for all classes being considered for licensing, and that all classes have been taken through an approved resource or institution.
*
Yes
No
17. How many total courses have you completed that qualify for credit in the Course of Study?
*
Ministry Experience & Spiritual Development
18. Describe your call to ministry:
*
19. When and where were you born again? Please describe what it means for you to be born again:
*
20. When and where you baptized?
*
21. Are you entirely sanctified, devoted to living in the fullness of the Holy Spirit?
*
Yes
No
I would appreciate the opportunity to discuss this further.
22. Describe any spiritual lapses since your conversion:
*
23. Please provide a record of Church membership/ministry for the last 5 years, such as, board member, worship team, NMI, NYI, SDMI, teacher, etc. (example: NMI Pres. / First Church / 2018-19)
*
Position
Church Name
Years
Served as:
Served as:
Served as:
Served as:
Served as:
24. Which local Church issued your first local minister's license and on what date?
*
25. Which District issued your first District Minister's License and on what date? (if not applicable, type n/a).
*
26. Indicate your approved ministerial role for the coming year, in order that you may be classified correctly in the District Journal.
CED - Christian Education Minister (employed by a local church school)
CHP - Chaplain (hospital, law enforcement, military, as verified by the District)
EDU - Education (employed to serve on administrative staff or faculty of one of the educational institutions of the Church of the Nazarene).
EVR - Evangelist, Registered - is devoted to traveling and preaching the gospel as his or her primary ministry.
GA - General Assignment, Missionary (appointed by the General Board)
PAC - Senior/Lead or Associate Pastor of Parent Affiliated Congregation (elder or district licensed minister leading a PAC church designated by the District).
PAS - Senior/Lead Pastor
PSV-FT - Pastoral Service Full-Time (associate pastor in connection with the local church, serving at least 30 hrs/wk and 51% livelihood from church).
PSV-PT - Pastoral Service Part-Time (associate pastor in connection with the local church, serving less than 30 hrs/wk and less than 51% livelihood from church).
SER - Song Evangelist, Registered (devotes the major portion of his or her time to the ministry of evangelism through music as his or her primary assignment).
SPC - Special Service/Interdenominational (in active service in a manner not otherwise provided for, which must be approved by the District Assembly upon recommendation by the District Advisory Board. Required to maintain relationship with the Church of the Nazarene).
STU - Student
U - Unassigned
27. List your district licensed ministry (ex: 2007, Sacramento, Youth Pastor, First Church)
*
Year
Issuing District
Assigned Ministry
Church Name
1
2
3
4
5
28. How many times have you preached in a corporate worship setting in the past year? (local church worship, retreat, camp, local mission, etc.)
*
29. Total number of one on one discipleship appointments in the past year?
*
30. If applicable, please indicate your current status as a senior/lead or associate pastor:
Please Select
Full-time, paid
Full-time, unpaid
Part-time paid
Part-time, unpaid
Not Applicable
31. Are you in full harmony with the doctrine and polity of the Church of the Nazarene?
*
Yes
No
I would appreciate the opportunity to discuss this further.
32. Do you wholeheartedly support the Church and it's mission?
*
Yes
No
33. Do you sense an urgency of Christians being entirely sanctified, devoted to living in the fullness of the Holy Spirit?
*
Yes
No
34. Do you believe your ministry leads people to become devoted followers of Jesus Christ?
*
Yes
No
35. If you answered NO to questions 31-34, please explain:
36. Through your ministry, how many people would you estimate have come to a place of entire devotion to God in the past two years?
Personal Information
37. Are you in good health?
*
Yes
No
Other
If "other", please explain:
38. If you are married, is your spouse in good health?
Yes
No
Other
If "other", please explain:
39. Are there personal dynamics in your family that could hinder your ministry?
*
Yes
No
Other
If "other", please explain:
40. If married, does your spouse support you in your commitment to fulfill your calling?
Yes
No
Other
If "other", please explain:
41. List to whom you have financial debts:
*
Institution/Auto/ Mortgage/Credit Card
Amount Owed
Debt
Debt
Debt
Debt
Debt
42. If you are behind on any debt or obligation, please explain:
43. Have you ever been arrested, convicted or pleaded "no contest" to a crime at any time?
*
Yes
No
44. Have you ever been accused of sexual misconduct, assault, harassment or abuse of any kind?
*
Yes
No
45. If you answered YES to questions 43 and 44, please explain:
46. I confirm that I have personally submitted and/or requested all necessary application documents as required (application, recommendations, transcripts, and written assignment).
*
Yes
No
Date submitted:
*
-
Month
-
Day
Year
Date
I certify that my responses on this form are both true and accurate. Applicant's Digital Signature:
*
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