PLEASE ANSWER ALL QUESTIONS & PROVIDE ALL REQUESTED INFORMATION. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
1. Full Name: (last) (first) (middle) 2. Residence: Address: (City) (State) (Zip) 3. Telephone: Residence Cell E-Mail 4. Place of Birth: Date of Birth: Are you a US citizen? If no, attach proof of legal status? 5. Sex: Marital Status (M/D/W/S): Spouse Name (if married) Number of children 6. Are you divorced (does not disqualify applicant for credentials)? (yes or no) | Divorced more than once? (yes, no, or n/a) 7. Do you understand and agree that any unethical or heretical acts committed by you will automatically expel you from ICCAN? (yes or no) 8. Do you understand that you must surrender your credentials if expelled? (yes or no) 9. Education: List ALL Schools, Colleges, or Universities attended, and any Degrees earned. (Attach additional pages if necessary—NOTE: Degree not required for credentials, see #20) 10. At what age were you born again (received Jesus as Lord & Savior)? 11. Are you presently in full time ministry? (yes or no) | Part-time Ministry (yes or no) If so, explain 12. What led you to join the ICCAN? 13. Do you believe in, and agree to abide by the ICCAN Statement of Faith? (yes or no) (Belief) 14. Do you use any form of: Alcohol? (yes or no) Tobacco? (yes or no) (If yes, please explain) 15. Do you promise not to slander or deliberately harm your brethren? I Agree (yes or no) 16. Have you ever been dismissed from a position (secular or clerical) or lawfully convicted or legally charged by an individual, group of individuals, or an organization, for sexual misconduct? (yes or no) (If yes, not eligible for credentials) 17. Have you ever been lawfully convicted or legally charged for any other type of offense other than that mentioned in (#16) (yes or no) NOTE: Does not disqualify applicant for credentials—each case individually reviewed 18. What are your views on same sex marriages/unions 19. I do hereby agree to keep myself under subjection and will not engage in immoral and/or illegal acts and habits. I will not take any illegal drugs, I will not commit illicit sexual acts, including homosexual behavior. I will not engage in any behavior contrary to that of a minister of the Gospel. Yes I Agree (yes or no) 20. If granted Licensed or Ordained ministerial credentials, you may be required to complete a Bible Knowledge Questionnaire comparable for that level. If your score is below a certain percentage, do you agree to complete coursework in your weaker subjects? (yes or no) (There is only a $35 per course fee to help cover books, shipping, & handling.) You will receive a "Certificate of Completion" for each course taken. You can receive credits for these courses if you wish to continue your educational through our educational branches Round Pen Bible Institute & Evangel Christian University. HOWEVER, if applicant has adequate experience and ministerial background upon review of the Board of Examiners, an applicant may be approved at the Licensed or Ordained level without taking the Questionnaire.
MINISTERIAL BACKGROUND INFORMATION
Do you presently hold credentials? (yes or no)If yes, When and where were you: (type in licensed or ordained) Name the group, fellowship or denomination If you have never been credentialed, what is your denominational background: If you are pastoring now, give name and address of your church: If not pastoring, provide your pstor's name, address and phone number as well as the name of the church you attend. What ministry are your currently involved in? (please list any/all you are currently involved in: i.e... preaching, evangelizing, counseling, Bible teaching, Music, etc...)
What level are you applying for:
Licensed Ordained
REFERENCES Provide three (3) letters of reference which affirm and attest to the call of God on your life and Christian character. One of these should be from a pastor or minister. None can be related to you or each other by blood or marriage. You may fax the letterS to: 318-345-0350 or attach as a PDF file and email to: iccan@live.com NOTE: The credential cannot be processed without the reference letters.
