Credential Application - Application Form - All States • CRC Churches International

Credential Application - Application Form - All States

Please note that it is important that all questions are answered. Although some questions may seem to be intrusive, this is necessary as a part of our Duty of Care and Ministerial Ethics. The information provided will only be used to help the decision-making bodies as a part of the interview process. Note also that one copy of this application will be kept in a secure location after the completion of the interview process, and all additional copies will be destroyed or deleted.

Section 1: Personal

1. First Name *

Last Name *

2. Preferred Name *

3. Do you have any other names/alias?

4. Home Address *

5. Mailing Address (if different from above)

6. Phone Number *

Mobile Number *

7. Email Address *

8. Date of Birth *

Place of Birth *

9. Gender *

10. Citizenship status *

Australian

Permanent Resident with valid visa

Other

If you selected other, please provide details

11. Marital Status *

If separated or divorced, please provide details

Q12 and 13 are for married, re-married and engaged candidates only

12. Name of spouse/fiancé: *

a. Has your spouse ever been divorced? *

If yes, please provide details *

b. Have you and your spouse ever had a significant period of separation that could have led to divorce? *

If yes, please provide details *

c. Since your marriage, have you or your spouse ever been in an inappropriate relationship that involved physical and/or emotional intimacy? *

If yes, please provide details *

13. Does your spouse/fiance support this application? *

If no, please provide details *

Section 2: Credential

Please indicate which credential the candidate is applying for: *

Indicate speciality *

14. Have you previously held a credential with CRC Churches International? *

If you are reapplying, please provide details *

15. Have you previously held a credential with any other denomination? *

If yes, please provide details *

16. Have you ever been refused a credential with CRC Churches International or any other denomination, or had a credential revoked? *

If yes, please provide details *

17. Are you (and if married, your spouse) a member of an organisation which may be in conflict with CRC Churches International beliefs, vision and values? *

If yes, please provide details *

18. Will you be submitted to the oversight of the National and State Councils of the CRC, and be in attendance at officially designated National and State gatherings? *

19. Briefly outline your reason for seeking a credential with CRC Churches International. *

Section 3: Spiritual

20. Which year did you commit your life to Christ? *

a. Where and with what denomination or church? *

21. Which year were you baptised by full immersion in water as a believer in Jesus Christ? *

a. Where and with what denomination or church? *

22. Which year were you baptised in the Holy Spirit and spoke in tongues as initial evidence? *

a. Where and with what denomination or church? *

23. Since your conversion has there been a significant period or periods when you have not been walking with Christ (i.e. no Bible reading, no prayer life, no church attendance and/or inappropriate behaviour)? *

If yes, please provide details *

24 a. On average, how many hours do you devote weekly to prayer? *

24 b. On average, how many hours do you devote weekly to reading/studying the Word? *

24 c. On average, how many hours do you devote weekly to ministry service? *

25. In the past 12 months, how many times have you preached? *

Section 4: Church

26. Are you a member or a regular attendee of a CRC Churches International church? *

a. Name and locality of your local church *

b. Name of Senior Minister *

c. How long have you been in this church? *

27. In regards to the Charter, National Constitution and relevant State Constitution of CRC Churches International Australia; a. Have you read these documents? *

b. Do you endorse these documents? *

c. Will you uphold the beliefs, principles and procedures outlined in these documents? *

28. Do you have any doctrinal beliefs or values that do not line up with CRC Churches International teaching? *

If yes, please provide details *

29. Have you ever been involved in a major church dissension or split? *

If yes, please provide details *

Section 5: Family

Do you have children? *

30. How many children do you have? *

a. What are their names, age and gender? *

b. Do all of your children belong to you and your partner alone? *

If no, please provide details *

c. Are your children walking with Christ? *

31. Is your relationship with your family members a good witness to others? *

If no, please provide details *

32. Do you or any member of your immediate family have physical or mental health issues that may affect your ministry? *

If yes, please provide details *

33. Is your family supportive of your application? *

If you selected other, please provide details *

Questions 35, 36, 37, 38 and 39 are for married, re-married and engaged applicants only

35. What year did your spouse/fiancé commit their life to Christ? *

a. Where and with what denomination or church? *

36. What year was your spouse/fiancé baptised by full immersion in water as a believer in Jesus Christ? *

a. Where and with what denomination or church?

37. What year was your spouse/fiancé baptised in the Holy Spirit and spoke in tongues as initial evidence? *

a. Where and with what denomination or church? *

38. Since their conversion has there been a significant period or periods when your spouse/fiancé has not been walking with Christ (i.e. no Bible reading, no prayer life, no church attendance and/or inappropriate behaviour)? *

If yes, please provide details *

39. Does your spouse/fiancé relate to people in a way that may hinder your effectiveness in ministry? *

Section 6: Character

42. Are there any issues in your physical or relational home environment that is likely to hinder your effectiveness in ministry? *

If yes, please provide details *

43. Check any statement which applies to you, and if married or engaged, your spouse/fiance

43 a. Currently have:

A drug dependency or addiction (e.g. tobacco, alcohol, prescribed medication, illegal substances)

A gambling addiction

A pornography addiction

A problem or implication in an issue relating to child abuse

Significant experiences of same-sex attraction

A diagnosed mental illness for which I take medication or have regular treatment

A criminal record

43 b. Previously had:

Used or distributed illegal substances

Been involved in community disturbances and/or domestic violence

Undergone therapy and/or taken medication for a mental illness

Been involved in criminal activity

Please provide details for any indicated areas above

44. Have you ever experienced any sexual attraction towards children. *

Rate yourself in the following areas:

Maturity (personal development, ability to cope) *

Motivation (self-discipline, sense of purpose, passion, depth od commitment) *

Reliability (dependable, diligent, responsible) *

Emotional Stability (poise, self-control, reaction to situations) *

Judgement (problem analysis and solving) *

Oral Expression (clarity of speech and thought, coherence) *

Interpersonal relationships (rapport, courteous, pleasant, understanding) *

Empathy (sensitive to the needs of others) *

Work Habits (stamina, conscientious, persevering, resourceful, takes initiative) *

Leadership (creative, confident, charismatic, decisive) *

Personal appearance (well groomed, modest dress) *

Integrity (truthful, moral character, keeps ones word and confidences, avoids gossip) *

Sexual Purity (disciplined mind, disciplined passions, disciplined eyes) *

Academic ability (studious, committed to lifelong learning) *

Reaction to criticism (able to cope with negative or hurtful situations) *

Preaching-teaching ministry (shares spiritual truths on a regular basis) *

Cooperation (teachable, works under supervision and in teams) *

Sociable (accepted by others, not withdrawn or antisocial) *

Devotional Life (prayer, reflection, reading) *

Communication skills (able to share ideas effectively with others) *

Stewardship (tithing, generosity, honest gain) *

Convictions (commitment to beliefs) *

Adaptability (able to cope with changing situations) *

Tolerance (allows other points of view, patient) *

Tact (think before speaking, apply diplomacy) *

Christian experience (consecrated, gracious, knowledgeable in Christian matters) *

General health (reasonably fit and healthy in body and mind) *

Modesty (in behaviour and dress) *

Section 7: Financial

46. What is your present means of financial support? *

47. Do you have a trade or profession? *

If yes, please provide details *

48. Do you have any debts? *

If so, do you have an effective debt management plan? *

49. Have you ever been declared bankrupt? *

If yes, please provide details *

50. Are you prompt in paying accounts/bills? *

Section 8: Ministry

51. Briefly outline your sense of calling to ministry? *

52. Do you intend to devote your life to full time ministry? *

53. Do you sense a call to any particular ministry? *

(If yes, select from the following) *

Please specify specialised ministry *

54. Do you feel called to any particular region of country? *

If yes, please provide details *

55. State current and previous ministry roles held (provide year, role and church for each role): *

Section 9: Education

56. Provide details of any non-theological / ministry related secondary or tertiary studies you have completed (provide course, institution and year for each instance): *

57. Provide details of any theological / ministry / leadership studies you have completed (provide course, institution and year for each instance): *

58. Are you currently undertaking any studies that you have not completed? *

If yes, please provide details *

59. Is there anything that you know about that could affect your status as a credentialed minister that the committee should be aware of that was not covered in any of the questions on this form? (if yes provide details)

Section 10: Referees

• Please supply the details of three unrelated people to act as referees on your behalf. Two must be the Senior Minister and another credentialed pastor, of the church you attend and all must be of the Christian faith.

• Ask their permission prior to submitting this application and advise them they will receive a form to complete.

• A referee form will be sent to them independently from the State Secretary for Credentialing.

Referee 1 (your Senior Minister)

Full Name: *

Relationship to applicant: *

Daytime phone number: *

Email: *

Postal address: *

Referee 2 (other credentialed minister)

Full Name: *

Relationship to applicant: *

Daytime phone number: *

Postal address: *

E-mail address: *

Referee 3 (other referee)

Full Name: *

Relationship to applicant: *

Daytime phone number: *

E-mail address: *

Postal address: *

Section 11: Declaration

I declare:

• All the information contained in this application is true and correct to the best of my knowledge

• I am fully aware of my responsibilities to CRC Churches International and will adhere to such

• I know of no such reason or circumstances that would contradict any principles, declared or inferred, as part of this application for a credential.

• I acknowledge that the act of submitting this application means that I agree to the above declaration.

Date of submission