First Name * Last Name * Spouse Name * Spouse Email * Spouse Phone Mailing Address * Address 1 City * State * Zip * Phone * Email * Background Information Do you have a previous spouse still living? * - Select -YesNo Does your spouse have a previous spouse still living? * - Select -YesNo Current Credential Type * - Select -certificate of ministrylicensenone Applying For Which Credential * - Select -certified ministerlicensed ministerupgrade to licenseupgrade to ordinationspouse fast track to licensereinstatement Have you completed your educational requirements for the Credential level you are applying for? * - Select -YesNo Bible School / University * Level Completed / Degree * Church Home * CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 2 + 4 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
