Ministerial Application

Check one*
- Ordained Minister
- Licensed Minister
- Comissioned Christian Worker
- Lay Preacher
Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone
Email
Birthdate
Married
- Yes
- No
Spouse's Name
Name and ages of Children
If Divorced: Date of Divorce
If Remarried: Date of Remarriage
Please give a detailed statement of the circumstances. Normally a waiting period of 5 years post divorce is a minimum requirement. Please contact the CCCC office for further information.)
Local Church Membership
Is it Congregationally Governed?
Denominational Affiliation
Other Organizations of which you are a member
Why are you seeking the standing for which you have applied?

Ordination Record
Ordained?
- Yes
- No
Date of Ordination
Place of Ordination
Ordaining Body
Present Repository of Minesterial Credentials (Name & Address)
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
May we write for transfer?
Individuals seeking Ordained Minister membership or transferring from another body should provide the following items:
1. A copy of the written call to the ordination council
2. A copy of the minutes of the ordaining council including a roster of the churches and ministers
3. Any papers presented by the candidate at the ordination council
4. A copy of the service of ordination
5. A copy of the ordination certificate.
(If any of the above items are not available, explain fully on a separate sheet.) Please attach copies of these items using the upload files feature at the bottom of this form. For scanned copies, .pdf, .jpg, .gif and .png formats are preferred. If you are unable to attach these items electronically, then please inform our office (651) 739-1474 and send them by mail.

Educational Record
Name of High School
Location of High School
Dates attended High School
Degree from High School
Name of Bible College
Location of Bible College
Dates attended Bible College
Degree From Bible College
Name of College or University
Location of College or University
Dates Attended College or University
Degree from College or University
Name of Seminary
Location of Seminary
Dates attended Seminary
Degree from Seminary
Name of Other Training
Location of Other Training
Dates of Other Training
Degree or Certification from Other Training
Awards and Honors

Secular Employment Record
List Chronologically
Employer
Location
Dates
Position
Employer 2
Location 2
Dates 2
Position 2
Employer 3
Location 3
Dates 3
Position 3
Employer 4
Location 4
Dates 4
Position 4

Christian Service Record (Professional And Volunteer)
List Chronologically
Place of Service
Location
Dates
Ministry Position
Place of Service 2
Location 2
Dates 2
Ministry Position 2
Place of Service 3
Location 3
Dates 3
Ministry Position 3
Place of Service 4
Location 4
Dates 4
Ministry Position 4

References
Attach a letter of reference from the church board and/or denomination you are now serving Also, provide names, complete mail and e-mail address, and phone numbers of four (4) personal references.
Reference 1
Reference 2
Reference 3
Reference 4

Personal Statements
Please elaborate on the following. If you would prefer to upload electronic documents covering any or all of these items, you may do so at the bottom of this form (.docx or .pdf formats are preferred). Please note: if leaving any of these fields blank, an appropriate document must be attached at time of application. Thank you.
Your doctrinal beliefs on each of the statements listed in our CCCC statement of Faith, with Scriptural references.
Your views on the nature and role of the Church and the place of Christianity among world religions.
Your views on the following doctrines: (a) baptism, (b) communion, (c) eschatology, (d) charismatic movement, e) predestination, (f) eternal security, (g) any other doctrines that are especially important to you. Include Scripture references in your statements.
Your view of the relationship of the local church to denominational and other bodies.
Why do you desire membership in the CCCC? How can the CCCC help you? How can you help the CCCC?
A brief testimony of (a) your conversion, (b) your call to ministry (required for licensed and ordained standing only)
List what you believe to be your spiritual gifts for ministry.
Please upload any pertinant files to accompany this application.
Personal doctrinal statement, additional references or other documents you may wish to attach to your application file.

Affirmation
*
- I hereby affirm that I wholeheartedly accept the Statements of Faith and Polity, and I agree to abide by the Code of Ethics for Ministers of the Conservative Congregational Christian Conference. I also accept the Constitution and By- laws of the CCCC as guiding documents for the CCCC.
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- If accepted into membership I promise to support the Conference by my influence and means as the Lord enables me.
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- It is my purpose, with God’s help, to keep my conduct above reproach, to live a life worthy of my calling, and to abstain from habits that do not glorify God or edify His church.
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- I will seek the counsel of the Conference Minister, Regional Minister, or Area Representative in situations involving serious division between me and the staff, church board, or congregation, and in cases of serious personal problems affecting my ministry.
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- I realize that a personal interview with a representative(s) of the CCCC is a part of this application, and that any expenses incurred by me for this interview are my responsibility.
Your initials*
Date of Application*
I hereby attest that the above information is complete and accurate to the best of my knowledge and that I can be held responsible for any innacurate or missing information.*
- I agree
This application requires a $75.00 application fee. After submitting this form you will be redirected to our donations / payment website. Please choose "Application Fee" from the drop down menu and enter the amount of $75.00 to complete your application.

Ministerial Application For:

Step 1 of 8

Ordination Record

Educational Record

Secular Employment Record

Christian Service Record (Professional And Volunteer)

References

Personal Statements

Affirmation

Resources