Credential Pre-Application Survey

First Things First

Are you a U.S. Citizen?(Required)

Yes

No

Do you have the right to work in the U.S.?(Required)

Yes

No

Please Provide A Detailed Explanation Below:(Required)

Have you been accused of, investigated for, or engaged in any sexual misconduct involving a minor?(Required)

Yes

No

Do you have an active felony or misdemeanor charge?(Required)

Yes

No

Thank you for your interest in applying for AG Credentials. Unfortunately, at this time we cannot approve you for an application. Thank you and God Bless.

About You

In the last seven years (or since conversion) have you had sexual activity outside of a biblically defined marriage (such as homosexuality, adultery, etc.)?(Required)

Yes

No

Have you intentionally viewed pornography over the last 24 months?(Required)

Yes

No

Are you currently married?(Required)

Yes

No

Do you or your spouse have a former living spouse?(Required)

Yes

No

Explanation(Required)

In less than 600 words, explain the facts and circumstances surrounding each individual divorce (i.e., abandonment to the believer by the unbeliever, domestic violence, deception, fraud, or other conditions that impacted a valid marriage union, pre-conversion divorce and salvation experience, and/or infidelity.) If your current spouse has a former living spouse, they must explain similarly.

Your Name(Required)

First Last

Your Address(Required)

Street Address City ZIP Code

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You(Required)

Tell Us About Your Calling...

In a brief paragraph, describe your ministry experience (past and present)(Required)

In a brief paragraph, describe why you want credentials with the Assemblies of God(Required)

What level of credentials are you applying for?

Specialized

Certified

Licensed

Ordained

Please upload any official educational transcripts for review

Drop files here or

Max. file size: 8 MB, Max. files: 5.