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2024 DISTRICT COUNCIL
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Credential Candidate Questionnaire
First Name
Last Name
Middle Name
Spouse Name (If Applicable)
Street Address
City
State
Postal / Zip code
Phone
Email
PERSONAL HISTORY
Have you ever filed for bankruptcy?
Have you ever been divorced?
If married, has your spouse ever been divorced?
CREDENTIALING / EDUCATION
Do you currently hold a credential with another organization?
What credential level are you applying for at this time?
Through what Bible School/University have you completed your required education?
What Level of education have you completed/degree received? (optional)
If you did not graduate from an AG school, select the courses below if you have completed them: (optional)
AG History, Missions, & Governance
Spirit Empowered Church
What church do you attend?
Does your Lead Pastor support you seeking credentials?
Have you experienced the baptism in the Holy Spirit with the evidence of speaking in tongues?
Why are you applying for credentials?
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