Pre-Credential Questionnaire

Name *

First

Last

Spouse Name *

First

Last

Address: *

Please provide your complete address.

Phone *

Email Address *

Please provide a valid email address so we can get back to you

Please note:

The answers to the following questions will help us understand your situation so we can better serve you. All information is confidential.

Have you ever filed bankruptcy? *

Yes No

Have you ever been divorced? *

Yes No

Has your spouse ever been divorced? *

Yes No

Explain:

Credential Type: *

New Upgrade

Level of Credential: *

Certified Licensed Ordained Not Sure

Have you completed your educational requirements for the Credential level you are applying for? *

Yes No Not sure, I would like more information

Bible School/University:

Level Completed/Degree:

Have you completed the AG History, Missions & Governance course? *

Yes No In progress

Have you completed the Spirit-Empowered Church course? *

Yes No In progress

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

Yes No

Have you completed the ACTS 2 Journey? *

Yes No In progress

Comments: