New Credentialing Questionnaire | Peninsular Florida District Council

First Things First

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

Yes

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

Yes

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

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

Yes

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

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

Yes

Are you currently married?(Required)

Yes

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

Yes

Your Name(Required)

First Last

Your Address

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)

Credential Pre-Application Questionnaire

First Things First

About You

How Can We Reach You?

Tell Us About Your Calling...

About Us

Care

Get Involved

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Peninsular Florida District Council