Credential Application Request

Full Legal Name *

First

Middle

Last

(include suffix: Jr., Sr, II, III, IV)

Email *

Address & Phone Number *

Spouse Full Legal Name (if married)

First

Middle

Last

(include suffix: Jr., Sr, II, III, IV)

Spouse's Email (no shared email address allowed) *

Have you ever filed bankruptcy? *

Yes
No

Have you ever been divorced? *

Yes
No

Has your spouse ever been divorced? *

Yes
No

Paragraph Text

Have you been attending an Assemblies of God Church for at least the past 12 months? *

Yes
No

Name of Church / City & State / Pastor's Name *

Credential Type: *

New
Upgrade

Level of Credential: *

Certified
Licensed
Ordained

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

Yes
No

Note about educational requirements: Your courses do not have to be fully completed in order to request more information.

Bible School/University: *

Level Completed/Degree:

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

Yes
No

Have you completed the Spirit Empowered Church course? *

Yes
No

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

AG Constitution, Article V, paragraph 8: The Initial Physical Evidence of the Baptism in the Holy Spirit. Testimony to having received the baptism in the Holy Spirit with the initial physical evidence of speaking in other tongues according to Acts 2:4. The Spirit-filled life will enable a minister to fulfill the fourfold mission of the church.

PLEASE NOTE: Should your credential be approved to advance to either certified, licensed, or ordained, you will be expected to personally attend Network Council (normally the last week of April; location TBD) for the formal commissioning service. Please check below that you have read this statement. *

I have read this statement.

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