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First Name:
Last Name:

Street Address:
City:
State:
Zip:
Work Phone:
Home Phone:
Cell Phone:
Preferred E-mail address:

What is the name of the church of which you are a member?:

What church are you serving and in what capacity?:

Where are you in you journey of living out God's call?

Supply Pastor
Initial Inquiring Candidate (Ministry Inquiry Process)
Inquiring Candidate (Candidacy Guidebook)
Certified Candidate
Full-time Licensed Local Pastor
Part-Time Licensed Local Pastor
Student Local Pastor
Withdrawn from candidacy for another avenue of ministry

Check here if you are bi-vocational

Which avenue of ministry is your goal?

Local Pastor
Deacon
Elder

Where are you in your educational requirements?

Pursuing MDiv
Pursuing COS
Pursuing College Degree
Completed MDiv
Completed COS
I have not begun edcuational requirements

If you are pursuing an MDiv, please indicate your year in school:

If pursuing the COS, how many courses have you completed to date?
(Be sure to submit copies of course grades for your file)

If you are pursuing college, indicate the Degree program and your year in school:

What goals do you plan to accomplish during the 2011-2012 Annual Conference year with regard to the District Committee?

Request a Guide for Ministry Inquiry Process
Request a Mentor for Candidacy Guidebook
First-time Certified Candidate
First-time License for Pastoral Ministry
Renewal of Candidacy
Renewal of Pastoral License
Recommendation to Board of Ministry for Associate Membership
Recommendation to Board of Ministry for Provisional Membership - Deacon
Recommendation to Board of Ministry for Provisional Membership - Elder
Interview as Pastor from another denomination serving in SHV District
Other - Please specify below