Credentialing Pre-Application Questionnaire – Southern New England Ministry Network of the Assemblies of God

PRE-APPLICATION QUESTIONNAIRE FOR NEW CREDENTIAL APPLICATION, REINSTATMENT APPLICATION, AND LICENSE UPGRADE APPLICATION

SOUTHERN NEW ENGLAND MINISTRY NETWORK OF THE ASSEMBLIES OF GOD, INC.
307 Sturbridge Road, Chariton, MA 01507 (508) 248-3711

If you are applying for credentials for the first time, applying to reinstate your lapsed credential, or are applying to upgrade to License, this pre-application questionnaire must be submitted to the SNEMN credentialing office and it must be approved by your Senior Pastor and your sectional Presbyter prior to starting the application, reinstatement, or the upgrade to License application process.

1. Name: *

First

Middle

Last

2. Date of Birth

3. Address: *

Address Line 1

Address Line 2

City

State

Zip Code

4. Email: *

5. Mobile Phone: *

6. Application type: *

New
Reinstatement
Upgrade

7. Applying for: *

Certified
Licensed
Ordained

8. Marital status: *

Single
Married
Divorced
Widowed

9. U.S. Citizen? *

10. What church (and location) are you an official member of: *

11. How long have you been an official member? *

12. Where are you presently serving? *

13. What is your position/ministry? *

14. How long have you been in this position? *

15. Have you ever been convicted of a felony? *

16. Have you ever been accused of, investigated for, or engaged in any sexual misconduct involving a minor or adult, including but not limited to child molestation, indecent liberties with a child, sexual harassment, rape, child pornography, sexual contact with a counselee, or sexual or non-sexual violence such as child abuse, assault, battery, murder, or kidnapping? *

17. In the last seven years (or since your conversion, if less than seven years ago) have you had sexual contact / activity outside of a biblically defined marriage (such as incest, adultery, homosexual activity, etc.), or been engaged in or involved with pornography? *

17b. Over the past 24 months, have you struggled with any issues or life-controlling habits that would hinder your ability to meet the leadership qualifications outlined in 1 Timothy 3:1-7 and Titus 1:5-9? *

18. Have you ever been divorced or had a marriage annulled? *

19. Has your spouse ever been divorced or had a marriage annulled? *

20. Have you ever filed for bankruptcy? *

21. Have you received the baptism in the Holy Spirit with physical evidence of speaking in other tongues according to Acts 2:4? *

22. Have you completed all the educational requirements (summary below) for the Credential you are applying for? *

Do you have a copy of your transcripts? *

Please attach a copy of your transcripts.

Click or drag files to this area to upload. You can upload up to 4 files.

BIBLE COLLEGE

Training in an endorsed Assemblies of God college, such as Northpoint Bible College or Valley Forge University as a biblical studies major, ministerial studies major, or other church related major:

Certified: 2 years (48 hours of study)
Licensed: 3 years (72 hours of study)
Ordained: 4 years (96 hours of study)

BEREAN OR SCHOOL OF MINISTRY

Completion of the General Presbytery approved coursework and internship below through Berean School of the Bible or Assemblies of God District Schools of Ministry. If applying for License, all Certified and License courses and internship need to be completed.

Certified - 100 Level
        101 Intro to Hermeneutics
        102 Intro to Pentecostal Doctrine
        103 Intro to Theology
        104 New Testament Survey
        105 Old Testament Survey
        106 Synoptic Gospels
        107 Spirit Empowered Churches
        108 AG History, Missions, Governance, Polity
        109 Relationships and Ethics
        Beginning Ministerial Internship

If applying to be Certified, all 9 Certified courses AND the Certified Internship need to be completed.

License, 200 Level
201 Acts
202 Romans
203 Prison Epistles
204 Eschatology
205 Introduction to Homiletics
206 Effective Leadership
207 The Local Church in Evangelism
208 Intro to AG Missions
209 Conflict Resolution
Intermediate Ministerial Internship

If applying directly to be Licensed, all Certified and License courses need to be completed as well as the Certified Internship and the License Internship.

Ordination, 300 Level
301 Pentateuch
302 Poetic Books
303 I and II Corinthians
304 Prayer
305 Worship
306 Pastoral Ministry
307 Multi Cultural Ministry
308 Church Admin, Law and Finance
Advanced Ministerial Internship

23. What Bible School did you attend? *

24. If your coursework was completed through Berean or School of Ministry and are applying to be Certified, have you completed the Certified internship. *

25. If your coursework was completed through Berean or School of Ministry and are applying to be Licensed, have you completed both the Certified internship and the License internship? *

26. Give the names of three Assemblies of God Ordained Ministers who know you and/or your ministry the best. *

27. Do you fully agree with the Statements of Fundamental Truths as contained in the General Council Constitution Article V? *

28. Please write a short essay on why you are applying for credentials/reinstatement/upgrade credentials. *

36. Who is your Senior Pastor? *

First

Last

37. What is you Senior Pastor's email address? Your Senior Pastor will receive an email requesting his/her signature on your Pre-application and will also be sent a link to complete the Senior Pastor Reference for you, so please make sure this is accurate. *

38. Who is your Presbyter? Your Presbyter will receive an email requesting his/her signature on your Pre-application. *

YOUR SIGNATURE

39. Signature: By typing my name here, I am digitally signing this document, I hereby certify that all statements provided are true and correct: *

PERSONAL/MINISTRY INVENTORY

Rate the quality and/or effectiveness of the following aspects of your life as a minister or your preparation for ministry. Mark N/A for any item not applicable to your present level of ministry.

My Personal Life.

My Family Life (for Ministers with Spouses and/or Children)

My Ministry and Leadership Practices

My Relationships With...

41. Have you read the entire Bible through at least once? *

PERSONAL TESTIMONY

Please share your testimony of salvation and receiving the baptism of the Holy Spirit. *

CALL TO MINISTRY

Please provide a brief description of your call to the ministry as you have experienced it. *