. CHURCH AFFILIATION
List the name of the church which you are a member or attend
__________________________________________(_____)___________
Name of Church Senior Pastor Phone
Address City State Zip
Years Attended Position(s) Held
- YOUR MINISTRY
Briefly explain when, how, and why you are called to ministry ___________________________________________________________________________________________________
___________________________________________________________________________________________________
If you are involved in a Christian ministry, please answer the following.
_______________________________________________________________Name of Ministry
Address
_________________________________________________________ Phone _____________________________
_______________________________________________________________
Years Involved Position(s) Held
_____________________________________(____)_____________________
Head of Ministry Phone
Previous Ministry Experience
_________________________________________________________
Dates Ministry Duties Reason for leaving
___________________________________________________________
Dates Ministry Duties Reason for leaving
(Use back of this sheet if you need to add more)
Are you or have you ever been licensed or ordained? ____Yes ____No
If Yes, list the denomination/organization, date credentialed, and what state and county filed:
Have you ever been disciplined or removed from a ministry position for any reason? (e.g., insubordination, ethical violations, or moral failure?) ___Yes ___No