Application for Credentials [Type text] [Type text] 1 Texas Southeast First Ecclesiastical Jurisdiction Application for Credentials All candidates applying for ministerial and missionary credentials are completing this application form. It is to be returned to the Chairman s Office at 515 Cool Mist Dr., Houston, Texas 77013-4905 after completion. Answer all questions clearly, accurately and fully. Print with black ink or use a typewriter, etc. If there is insufficient room on this form to properly answer any question, please state your answer on a separate sheet of paper. This application form must be accompanied with a processing fee listed below: Credentials for which you are applying: Ordained Elder $150.00 Licensed Missionary $125.00 Other $75.00 PLEASE ATTACH PHOTO HERE APPLICANT: 1. Full Name Social Security No. Last four digits 2. Address Telephone ( ) City State Zip Code 3. Date of Birth Place of Birth 4. Race 5. Age Male Female Married Divorced Widowed No. of Children PERSONAL BACKGROUND INFORMATION: 6. Full name of spouse (if married) 7. Date of Marriage 8. Spouse s Date of Birth Spouse s Place of Birth 9. Does your spouse hold ministerial (missionary) credentials? yes no
Application for Credentials [Type text] [Type text] 2 10. To what extent is your spouse in support of your ministerial responsibilities? Explain 11. What role will your spouse play in your ministry? 12. Name and age of children, if any? 13. Do you or any family member have any health issues that would affect your ministry? yes no If yes, please explain 14. What is the name and address of the church where you are a member? Name Address, City, ST, Zip Code Pastor s name 15. How long have you been a member there? 16. In what capacity/capacities have you served in your church? 17. Do you have a regular time set aside for prayer and meditation? yes no 18. How are personal hygiene, physical exercise, proper diet, neatness and cleanliness important to you? 19. How do you avoid all appearance of evil with those of the opposite (or same) sex? Explain 20. Are you known as a person who keeps your word? yes no 21. Do you believe in tithing for the New Testament believer? yes no 22. Do you practice tithing? yes no 23. Describe some of the strengths of your personality. 24. What type of activities, issues, concerns etc., that really motivates you?
Application for Credentials [Type text] [Type text] 3 25. Summarize briefly some of your theological convictions (the things that really burn in your heart). 26. Describe your philosophy of ministry. What in ministry do you feel are the most important things to do? How do you use your strengths to go about doing this? 27. Give a brief description of a situation in which you planned, coordinated, or organized a new ministry, etc. 28. Describe one experience in which you helped an individual through a problem solving situation 29. Describe one of your efforts in which you successfully completed your goal. 30. How do you regulate your prayer life with the many demands on your time? 31. What areas of your ministry do you need to develop the most? 32. Give an example of a time when the Lord directed you in your ministry. How did you communicate your vision to others? 33. Describe how you recently led someone to accept Christ.
Application for Credentials [Type text] [Type text] 4 34. To what extent were you recently involved with someone receiving the baptism of the Holy Ghost? DOCTRINE: 35. Have you fully taken into account the Statement of Faith adopted by the Church of God in Christ, Inc.? yes no 36. Do you fully accept the Statement of Faith? yes no 37. In addition to your beliefs on the following subjects? Give scripture references supporting what you believe about: a. The infallibility of scripture b. The physical confirmation of the baptism in the Holy Ghost c. Water baptism: When should a person be baptized? How should a person be baptized? What does the New Testament say when baptizing an individual? d. Explain your views of the Rapture and Tribulation.
Application for Credentials [Type text] [Type text] 5 e. Divine healing f. Sanctification CHILD MOLESTATON: 39. Have you ever been accused of child molestation? yes no 40. If you have, it is your duty to disclose the matter to your Bishop, Pastor or Chairman of the Credentialing Board. 41. Please sign the statement below. This is to protect the local, state and national church. I, affirm before God that I have never been involved with or accused of child molestation. The responses to the questions in this document are true and correct, so help me God. Signature of Candidate
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