Application Type Application TypeCommissioned Christian WorkerLicenseOrdination

Applicant First Name

Applicant Last Name

Applicant Phone Number

Applicant Fax Number

Applicant Email

Applicant Website

Applicant Address

Applicant Citizenship

Applicant Date of Birth (YYYY-MM-DD)

Marital Status Marital Status Single Married Divorced Remarried

Spouse's First Name

Spouse's Last Name

Sponsoring Church Name

Sponsoring Church Phone Number

Sponsoring Church Fax Number

Sponsoring Church Email

Sponsoring Church Website

Sponsoring Church Address

Sponsoring Pastor First Name

Sponsoring Pastor Last Name

Sponsoring Pastor Phone Number

Sponsoring Pastor Fax

Sponsoring Pastor Email

Sponsoring Pastor Website

Sponsoring Pastor Address

How long (how many years) has candidate been affiliated with the above sponsoring church?

What is their sphere of service?

Why are you applying for licensing/ordination?

What are your Ministries What are your Ministries Pastor Co-Pastor Evangelist Missionnary Teacher Retired Minister

Date of the licensing/ordination of the candidate?

Minister's name who will conduct the licensing/ordination?

Where will candidate be located in his/her ministry?

Have you been licensed or ordained with other fellowships? Have you been licensed or ordained with other fellowships? Yes No

Are you holding credentials with other fellowships? Are you holding credentials with other fellowships? Yes No

Previous Fellowship Name

Previous Fellowship Phone number

Previous Fellowship Fax Number

Previous Fellowship Email

Previous Fellowship Website

Previous Fellowship Address

Duration of affiliation with previous Fellowship

Reason and time of withdrawal

Are recommendations from previous fellowship available? Are recommendations from previous fellowship available? Yes No

Statement of Faith Agreement Statement of Faith Agreement I hereby certify that I have read and agree with IAOGI's Statement of faith.

Validation (Sponsoring Pastor) Validation (Sponsoring Pastor) I hereby certify that the answers to the above questions are true and correct to the best of my knowledge.

Validation (New Applicant) Validation (New Applicant) I hereby certify that the answers to the above questions are true and correct to the best of my knowledge.