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CCOGM Credentials - Minister Application
Personal History
*
1.
Personal Information
(Required.)
Full Legal Name
*
Preferred Nickname
Address
*
City/Town
*
Province
*
Postal Code
*
Country
*
Email Address
*
Phone Number
*
*
2.
Date of Birth
(Required.)
*
3.
Citizenship:
(Required.)
*
4.
Gender:
(Required.)
Male
Female
*
5.
On your background check will it reveal anything of concern? (As part of your licensing process, we will complete an extensive criminal record, vulnerable sector, soft credit check and verify your identification.)
(Required.)
Yes
No
*
6.
The Church of God holds to either celibate or heterosexual relationships as being biblically sound. Is your lifestyle in agreement with this standard?
(Required.)
Yes
No
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7.
Have you ever applied for ministerial credentials before:
(Required.)
No
Yes
If yes, with which group?
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8.
I am serving in the position of:
(Required.)
Senior Pastor
Associate Pastor
Transitional/Interim Pastor
Chaplain
No professional pastoral position at this time.
Other (please specify)
*
9.
I am seeking a position as:
(Required.)
Senior Pastor
Associate Pastor
Transitional/Interim Pastor
Chaplain
No professional pastoral position at this time.
Other (please specify)
*
10.
Part of the requirements of this application process is providing personal character references. The six individuals to whom I have given the reference surveys, are listed as follows (Please provide both name and email address.)
(Required.)
Name
Email address
Name
Email address
Name
Email address
Name
Email address
Name
Email address
Name
Email address
*
11.
Another part of this process is providing a completed Ministerial Endorsement Form. This individual is someone who has witnessed you in ministry. (Please provide both name and email address.)
(Required.)
Name
Email address
