New Credential Application with $225.00 non-refundable fee

Personal Information

Name

Home Address

Primary Phone

Your primary phone is...

Secondary Phone

Your secondary phone is...

This address will receive a confirmation email

Date of Birth

Age

Gender

How did you hear about The River? Do you know anyone currently credentialed by The River? If so what is the level of relationship?

Education

Name of High School

Graduation Date

Did you receive your diploma?

Name of College/University

Graduation Date

Did you receive your degree?

List any other education or certifications

Personal Family History

Marital Status

If widowed, when?

If separated or divorced, please provide brief explanation

Name of Spouse (if married)

Is your spouse in agreement with your ministry?

If no, please provide brief explanation

Names and ages of your children (if any)

Briefly describe your relationship with your children, parents or your spouses parents (if any)

Employment

Present Employer

Employer Address

Employer's Phone

Job Title/Function

Financial

Are your bills current?

If no, please provide brief explanation

Have you ever filed for Bankruptcy?

If yes, please provide brief explanation

Church Life

What church are you currently attending?

Do you attend church regularly?

How long have you attended your current church?

Are you a member?

Are you currently in a leadership position at this church?

Other Ministry Positions

Pastor's Name

Pastor's Mobile

Pastor's Work Phone

Church Address

Spiritual Life

When were you converted to Christ?

Have you been immersed in water baptism?

Have you been baptized in the Holy Spirit?

If no, are you seeking it?

Who is your mentor at this time?

State any Christian service you have done:

Please describe your ministry focus/passion:

Please state your strengths:

Please state your weaknesses or areas of growth:

Ministry

Please describe the current ministry you are involved in, including significant activities, the level of your responsibility, and results of the activities stated.

Other Ministry Positions

If you have a leadership role within a ministry or church? What are you responsible for and how many people do you lead?

Do you preach or teach? How often and to how many people?

Please describe the types of ministry events you are involved in, including the location or venues in which the ministry took place, primary focus of your ministry, and any partnerships in which you have been involved. Also, include whose supervision or direction you were under while participating in this ministry.

Have you received a specific call to ministry? If so, please describe the experience you had or the sense you have that you are called? (This can include full-time, vocational ministry, part-time ministry, marketplace ministry, lay ministry, and chaplaincy.)

Has the Church recognized and affirmed this calling on your life? If so, how have they affirmed this call?

Do you feel called to the five-fold ministry? To what level do you feel you are operating in this anointing and office?

Please describe the reasons you are seeking credentials.

Why are you interested in being credentialed with The River? What do you desire and expect if credentialed with The River?

History and Agreement

Answering "Yes" to the following questions will not automatically disqualify the applicant from acceptance. Do you understand?

Answering

Are you currently dealing with, or have your dealt with addictive behavior?

If yes, please provide brief explanation:

Have you ever been involved in homosexuality or lesbianism?

If yes, how long since last involved?

Have you ever been involved in pornography?

If yes, how long since last involved?

Have you ever been involved in an intimate relationship outside of marriage?

If yes, please provide brief explanation:

Have you ever been arrested?

If yes, please provide brief explanation (include if you were convicted and legal consequences you faced):

Have you ever been involved in the occult, witchcraft, or cults?

If yes, please provide brief explanation:

AGREEMENT: I verify that the information on this application is true and correct. I hereby certify that I have read The River A Gathering Place website including the Statement of Purpose, Basic Requirements, Statement of Faith, Levels of Credentialing and Related Requirements, and accept them, and agree to abide by them while credentialed with The River. I understand that The River Board reserves the right to require the withdrawal of any member who is considered to be out of harmony with the spirit of this fellowship. I also understand that the information contained in this application will be used in our Members Only Directory. By typing my name in the textbox below, I am acknowledging that this will act as my signature in agreeing to this statement.

Digital Signature Agreement

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Non-refundable $225.00 Application Fee - Thank you.

Application Fee

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Expiration Date/CVC

Name on Card Card Billing Address

New Credential Application with $225.00 non-refundable fee

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