Ministerial Application

Please Answer All Questions & Provide Requested Information. Incomplete Applications Will Not Be Processed.

Current Title*

You Selected "*

Name*

First Middle Last

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Home Phone*

Cell Phone

How Did You Learn About ICCM?*

You Selected "Other." Please Tell Us How You Learned About ICCM.*

Check here to learn how you may be exempt from paying Social Security tax as a credentialed minister.

Please Contact Me With More Information

You will be contacted after you are granted credentials by ICCM.

List Your Previous Three Addresses & Length Of Time At Each:

Please list in order of oldest to newest address.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Long?

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Long?

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Long?

Personal Information:

Place of Birth:*

Date of Birth:*

Sex:*

Marital Status:*

What Year Were You Divorced?*

Divorce does not disqualify applicant for credentials

Please Provide An Explanation For Your Divorce:*

Give conditions under which divorce was granted (i.e., adultery, abandonment, irreconcilable differences, incompatibility, etc)

Are You A U.S. Citizen?*

Social Security Number or U.S. Visa Number*

Name of Spouse (if married):

Education - List all Schools, Colleges, or Universities attended, and any degrees earned:

Occupational Questionnaire

What Is Your Present Ministry?*

Are You Currently In Full-Time Ministry?*

Please Describe Your Ministry:*

Through what church or ministry do you serve at this time?*

Are you supported entirely by your ministry?*

What Ministerial Positions Have You Previously Held?*

Please include where, how long and why you left each ministerial position. If none, please simply state "none."

Do You Have Other Employment Or Are You Self Employed?*

Employer or Name of Business:

If Self Employed, please list either name of business or industry (for example: real estate, land escaping)

What is your annual income?

How Many Jobs Have You Held In The Past Ten (10) Years?

Spiritual Questionnaire:

At What Age Were You Born Again? (Received Jesus as Lord and Savior)*

Is Christ First In Your Life, And The Salvation Of Souls? (Gal. 2:20, Rom. 12)*

Do You Believe In Water Baptism According To Matthew 28:19?*

Do You Have The Baptism In The Holy Spirit According To Acts 2:1 - 4, AND do you believe in speaking in tongues?*

Do You Strive Earnestly For Unity In The Entire Body Of Christ? (John 17:21)*

Are You A Soul Winner? (Proverbs 11:30)*

At The Present Time Are You Living A Clean, Consistent Christian Life According To The New Testament Standard Of Holiness? (See Gal. 5:22, Phil.4:8)*

Do You Believe In, And Agree To Abide By, Our Twenty-Two Fundamental Truths?*

Do You Promise Not To Slander Or Deliberately Harm Your Brethren?*

Pastor Information:

Your Current Pastor’s Name:*

Your Current Pastor's Telephone Number:*

Your Current Pastor's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Personal Questionnaire:

Do You Pay Your Debts In A Timely Manner?*

Do You Use Any Form Of: Excessive (Alcohol?, Tobacco?, Narcotics?)*

If yes, you are not eligible for membership.

Have You Ever Been Dismissed From A Position (Secular or Clerical) As A Result Of Sexual Misconduct?*

If yes, not eligible for credentials.

Have You Ever Been Lawfully Convicted Or legally Charged By An individual, Group Of Individuals, Or An Organization, Of Sexual Misconduct?*

If yes, not eligible for credentials.

Are You Already Ordained Or Licensed With Another Organization*

When And Where Did You Receive Your License?*

Please list all if more than one.

Are You Ordained?*

Are You Pastoring A Church?*

Name of Church You Are Pastoring:*

Address Of Church You Are Pastoring*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Document Upload Section

Please upload a clean copy of the required documents in a .jpg of .pdf format.

Once your file has been uploaded, its name will appear with a

next to it. This means that the upload was successful, but should you need to remove the file to replace it with another one, click the

to delete the current one.

Please upload a copy of your currently held credentials.

Drop files here or

Max. file size: 32 MB.

Must be in .jpg or .PDF format. If expired, please fill out the application and follow the standard procedure.

Please Upload A Copy Of Current Driver's’ License Or Other Photo I. D.

Drop files here or

Max. file size: 32 MB.

Must be a current photo taken within the past four years.

Please Upload Letters Of Recommendation Where Applicable.

Drop files here or

Max. file size: 32 MB.

Please Upload A Letter Describing Your Calling From God.

Drop files here or

Max. file size: 32 MB.

Please Upload A Letter Explaining Why You Want To Become A Part Of ICCM.

Drop files here or

Max. file size: 32 MB.

Please State Your Doctrinal Views In The Following Areas:

Repentance:*

Salvation:*

Holy Spirit Baptism:*

Water Baptism:*

Just Living By Faith:*

If Granted A License As An Ordained Minister, You Will Be Required To Take An Exam Comparable For That Level. If Your Score Is Inadequate, Do You Agree To Do Coursework In Your Weaker Subjects?*

There is no cost for the coursework.

Do You Understand And Agree That Any Unethical Or Heretical Acts Committed By You Will Automatically Expel You From ICCM?*

Will You Surrender Your Credentials If Expelled?*

Declaration & Pledge:

I hereby declare each of the statements given or made in this application and supporting documents are correct and true; and I solemnly pledge to abide by all promises and statements contained therein.*

Agreed

Electronic Signature

By signing with your electronic signature you agree that it has the same legal validity as if you were signing by hand. Please place your initials between two forward slash symbols: ex. /ABC/

Type Full Name*

Today's Date*

Ministerial Fee(s):

Please Select A Ministerial Credential Category*

I agree to receiving marketing and promotional materials.

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Phone

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