Have You ever been divorced? (does not disqualify applicant for credentials.) No Yes

Do you agree that any unethical or heretical acts on your part automatically expels you from the AEGA?* Yes No

Will you surrender your credentials if expelled?* Yes No

Educational Data: List Schools, Colleges, Universities, completed with degrees earned (if any). MAIL COPIES OF ALL DIPLOMAS. Mail additional statement if necessary.*

How long have you been Born again?*

Are you presently in full time ministry? If so, explain*

Are you supported entirely by your ministry?*

Whatt ministerial postions have you previously held?

Where? How long?

Why did you leave?

Do you have secular employment, also?* No Yes
Name of employer?
How long there? Current position ?
Supervisors name?
Supervisors phone number?

How many jobs have you held in the past 10 Years?
What is your annual income

What is your ministry?* Preaching Evangelizing Counseling Bible Teaching Music Other
What church or ministry do you serve through at this time?*

Have you been credentialed with another religious group?* Yes No
If yes, give name: How long with that group?

Why did you leave the group?

What led you to join AEGA?*

If you join AEGA, will you financially support and actively promote it?*

Do believe in and agree to abide by our Eighteen Fundamental Truths?*

Do you teach and practice Water Baptism according to Matthew 28:19?*

Do you use any form of Alcohol?* No Yes Tobacco?* No Yes Narcotics?* No Yes

Do you have the Baptism in the Holy Spirit according to Acts 2:1-4, as an enduement of power for service to the Lord?* Yes No

Are you at the present time living a clean, consistent Christian life according to the New Testament standards of holiness (Gal. 5:22, Phil. 4:8)?*

Is Christ first in your life, and the salvation of souls more important to you than self-edification (Gal. 2:20, Rom. 12)?*

Do you strive earnestly for unity in the entire body of Christ (John 17:21)?*

Are you a soul winner (Proverbs 11:30)?*

Do you tithe?*

Do you promise not to slander or deliberately harm your brethren?*

Do you pay your debts, in a timely manner?*

Current Pastor's Name/Address/Phone (if applicable)

Have you ever been dismissed from a position (secular or clerical) as a result of sexual misconduct?* No Yes If "yes", explain

Have you ever been lawfully convicted or legally charged by an individual, group of individuals, or an organization, of sexual misconduct?* No Yes

If "yes", explain

If granted licensed or ordained minister credentials, you will be required to take a test comparable to that level. If score is inadequate, do you agree to take courses provided by Omega Bible Institute & Seminary in order to increase your knowledge of the ministry?* No Yes
(Normally no cost invovled if abiding by by-laws)

THIS SECTION IS TO BE COMPLETED WHEN APPLYING FOR LICENSED/ORDAINED STATUS ONLY

When were you Licensed Ordained ?

Name the group, fellowship or denomination

If you are pastoring now, give name and address of you church :

MAIL COPY OF PREVIOUSLY HELD CREDENTIALS

---

RECOMMENDATION INFORMATION REQUIRED before Credentials will be issued.

Note: Recommenders CANNOT BE RELATED to each other or to the applicant, either by blood or marriage. The letters must state: (1) How long the recommender has known the applicant. All recommenders must have known the applicant for at least tewo years. (2) A statement attesting to the applicant's Christian character. (3) The recommenders' address and phone number. (4) If not a citizen mail copies of your documents showing your right to be in the US legally & Photo I.D.

LICENSED or ORDAINED APPLICANTS: Must be recommended by two (2) Ordained Ministers or three (3) Character References from Christians.
CHRISTIAN WORKER or MINISTERIAL APPRENTICE APPLICANTS: Must be recommended by one (1) Ordained Minister or two (2) Character References from Christians.

NOTICE: Not sending your letters of recommendation to our office ASAP will hold up the credentialling process.