o o o o Candidacy Application for the Evangelical Lutheran Church in America

Transcription

1 Imprtant Nte: This frm has been cnverted t an nline web-based frm, please use this fr preparatin nly. Yu must submit the fficial applicatin via the Leader Prtal. See fr mre details. Candidacy Applicatin fr the Candidacy is the churchwide prcess f preparatin and frmatin leading t service as a inister f Wrd and Sacrament r a inister f Wrd and Service. Any baptized persn wh senses a call t serve n a rster f the LCA must cmplete this frm t begin the prcess tward candidacy. Peple seeking rstering wh are previusly rdained in anther Lutheran Church r anther Christian traditin must als cmplete the Applicatin frm a Pastr in Anther Lutheran Church r Christian Traditin frm. Persns seeking reinstatement must als cmplete the Reinstatement frm. PRSONAL INFORATION LAST 4 OF SS# SYNOD IN WHICH YOU AR A CANDIDAT FIRST IDDL LAST AT BIRTH (IF DIFFRNT) SUFFIX TITL.I LAST FULL Address: ADDRSS LIN I ADDRSS LIN II CITY STAT PHON -AIL ZIP GNDR BIRTHDAT BIRTHAC BAPTIS DAT CONGRGATION LOCATION CITIZNSHIP AR YOU LGALLY NTITLD TO WORK IN TH UNITD STATS? (YS/NO) NATIV LANGUAG THNIC ORIGIN Other Languages Read Read Read Write Write Write Cnversatin Cnversatin Cnversatin Translate Translate Translate LCA CONGRGATIONAL BRSHIP CONGRGATION CONGRGATION NUBR BR SINC,ZIP PASTOR SYNOD Page 1 f 7

2 Candidacy Applicatin fr the FAILY INFORATION SINGL/ ARRID IN PUBLICLY ACCOUNTABL, LIFLONG, ONOGAOUS, -GNDR RLATIONSHIP BY CIVIL ARRIAG BY CIVIL UNION BIRTHDAT FIRST IDDL RLIGIOUS AFFILIATION : DUCATION AND PROFSSION: Rstered in the LCA? IN CANDIDACY FOR LCA ROSTRD INISTRY? LAST AT BIRTH (if different) DAT OF BIRTH LIV WITH YOU? DAT OF BIRTH LIV WITH YOU? CHILD LAST CHILD DAT BY OTHR ANS CHILD DAT OF BIRTH LIV WITH YOU? CHILD DAT OF BIRTH LIV WITH YOU? CHILD DAT OF BIRTH LIV WITH YOU? Prev. Spuse(s): DAT OF BG. ND DAT RLATIONSHIP NDD BY DAT OF BG. ND DAT RLATIONSHIP NDD BY Prev. Partner(s) in a civil unin r ther same-gender relatinship that was held ut as publicly accuntable, lifelng, and mngamus: DAT OF ARRIAG ARRIAG ND DAT ARRIAG NDD BY DAT OF ARRIAG ARRIAG ND DAT ARRIAG NDD BY If yu have mre than tw previus spuses r previus partners check here and give details in a letter t the Candidacy Cmmittee. Page 2 f 7

3 Candidacy Applicatin fr the POST-SCONDARY DUCATION Cllege: AJOR/ STUDIS DGR Cllege: DGR Seminary: DGR YAR (FRO/TO) A SINARYSTUDYCOD AJOR/ STUDIS AJOR/ STUDIS YAR (FRO/TO) YAR (FRO/TO) Graduate Schl: AJOR/ STUDIS DGR YAR (FRO/TO) Other ducatin: AJOR/ STUDIS DGR YAR (FRO/TO) Page 3 f 7

4 Candidacy Applicatin fr the Areas in which yu have cmpleted cursewrk: Lutheran Cnfessins Old Testament BACHLOR/GRADUAT New Testament BACHLOR/GRADUAT Lutheran Heritage BACHLOR/GRADUAT Christian Thelgy BACHLOR/GRADUAT Church and Culture BACHLOR/GRADUAT BACHLOR/GRADUAT POSITION/TITL PHON OYR POSITION/TITL YAR (FRO /TO) PHON POSITION/TITL YAR (FRO /TO) OYR YAR (FRO /TO) OYR WORK HISTORY (Please list mst recent psitin first, including any military service) PHON OYR POSITION/TITL PHON OYR POSITION/TITL PHON YAR (FRO /TO) YAR (FRO /TO) Given the wrk histry listed abve, will this be a secnd career? YS/NO D yu have prfessinal certificatin r licensure in any specializatin? YS/NO Page 4 f 7

5 Candidacy Applicatin fr the YOUTH AND YOUNG ADULT CHURCH XPRINC: Participated in a church yuth rganizatin Served as a leader in a church yuth rganizatin Attended a natinal, reginal r synd yuth gathering Invlved in campus ministry Attended a church r Bible camp Wrked n the staff f a church r Bible camp as a cunselr r staff member. inistry Preferences: ROSTRD LCA? ROSTR OF PRIARY INTRST: ROUT Seminary Name SINARY OF INTRST: ANTICIPATD NTRY DAT IF NON-LCA SINARY, WITH WHICH LCA SINARY DO YOU AN TO AFFILIAT? HAV YOU PRVIOUSLY APID FOR OR PARTICIPATD IN TH LCA CANDIDACY PROCSS? YS/NO IF SO, AR YOU APYING FOR RINSTATNT? YS/NO Outcme: LCA SYNOD OF PRVIOUS CANDIDACY Year? CANDIDACY QUSTIONS 1. Are yu familiar with the dcument Visin and xpectatins? 1a. D yu intend t live in accrd with its standards f cnduct as a candidate and as a rstered minister in the LCA? 2. D yu belng t any rganizatin r ldge like the Free asns r astern Stars which claims t pssess in its teachings and ceremnies that which the Lrd has given slely t the Church? 3. Have yu cmpleted yur n-line health assessment? 4. What did yu learn, and what will yu d t remain healthy? 5. D yu have r have had any health cnditins (physical r psychlgical) that might interfere with yur ability t serve as a rstered minister in the LCA? 6. Are there issues in yur family situatin r persnal life that culd adversely affect yur ability t serve as an effective rstered minister in the LCA? 7. Is yur persnal debt, excluding mrtgage, greater than $31,500? 8. Have yu ever defaulted n a lan r declared bankruptcy? 9. D yu nw engage r have yu ever engaged in any addictive, behavir, including drug r alchl abuse r sexual r prngraphic addictins? 10. Have yu ever been terminated r resigned frm any emplyment r vlunteer activities due t accusatins f miscnduct, whether financial, sexual, ethical, r ther imprper behavir? Page 5 f 7

6 Candidacy Applicatin fr the 11. Have yu ever engaged in, been accused f, charged with, r cnvicted f a crime r illegal cnduct, including cnduct resulting in suspensin r revcatin f yur driver's license? 12. Have yu ever been engaged in, accused f, sued, r charged with sexual mlestatin, sexual harassment, child neglect r abuse, spusal neglect r abuse, r financial imprprieties? 13. D yu have any sexual attractin tward children r minrs, r any histry f sexually deviant behavir, including behavir with children r minrs? 14. Have yu engaged in any behavir r been invlved in any situatins that, if they became knwn by the church, might seriusly damage yur ability t cntinue in candidacy fr rstered ministry? 15. Are yu prepared t accept a call frm this church based n the needs f the church which might require service in a lcatin different frm where yu nw live? 16. Is there additinal infrmatin that wuld assist the Candidacy Cmmittee in cnsidering yur candidacy r that yu believe the cmmittee shuld knw? NTRANC SY The entrance essay is an autbigraphical reflectin which shuld cntain insights and understandings gained during the perid f discernment leading t yur decisin t apply fr candidacy in the vangelical Lutheran Church in America. It is nt expected that yur prcess f discernment is cmpleted. Yu are asked nly t prvide an hnest assessment f yur current self-understanding f yur jurney thus far and yur hpe fr the future. It will prvide the cmmittee with backgrund that will help guide yur interview. Fr each f the fur parts, please write tw t three pages in length, duble spaced, and phtcpy ready. Please submit a cpy f the essay t yur candidacy cmmittee thrugh yur synd ffice. Keep a cpy f the essay fr yurself and bring it with yu t yur ntrance Interview. Prvide a brief autbigraphy that includes yur early years, faith frmatin and current life situatin. 2. Describe yur jurney f discernment. Hw did yu first experience yur call t rstered ministry? What have yu dne t deepen this understanding? Wh have yu discussed this with? Thrugh this intentinal time f discernment, what have yu learned abut yurself, the church and the wrld? 3. Describe yur relatinship with Jesus Christ. 4. What plans d yu have fr frmatin fr rstered leadership, including thelgical educatin? Hw d yu plan t develp yurself as a issinal Leader? Cnsider all areas f the whleness wheel. Hw can this candidacy prcess help yu prepare t be called by the church t rstered leadership? 1. I state that the abve infrmatin is true and crrect. I hereby appy fr entrance int the prcess fr candidacy in the. SIGNATUR DAT Page 6 f 7

7 Candidacy Applicatin fr the Authrizatin and Release The s candidacy prcess fr individuals preparing fr rstered ministry is a partnership amng candidates, seminaries, synds, and the LCA. The prcess requires that candidate infrmatin may be shared amng these partners. very applicant fr candidacy must give permissin fr the necessary exchange f infrmatin related t the candidacy prcess. I authrize any references, supervisrs, LCA agencies, cngregatins, r any ther persn r rganizatin t give any infrmatin, including pinins, regarding my charter and fitness fr ministry t my synd Candidacy Cmmittee f. I further authrize my synd Candidacy Cmmittee t release t LCA candidacy partners (seminary dean r faculty, LCA, Dmestic issin Unit) cpies f any dcuments in my candidate file that are necessary t my candidacy prcess. I als release any individual, emplyer, church LCA agency r ffice, reference, r any ther persn r rganizatin prviding infrmatin frm any and all liability fr damage f whatever kind r nature that may exist at any time n accunt f cmpliance r any attempts t cmply with this authrizatin, excepting nly the cmmunicatin f knwingly false infrmatin. A facsimile r phtcpy f this authrizatin shall be as valid as the riginal. Imprtant Nte: This frm has been cnverted t an nline web-based frm, please use this fr preparatin nly. Yu must submit the fficial applicatin via the Leader Prtal. See fr mre details. Signature Date Name * lectrnically submitted n: Page 7 f 7