Welcome to Experience Ministries Special Lateral Transfer Option for Ministers Credentialed by the National Conservative Christian Church, Inc. Experience Ministries is offering a limited time opportunity for ministers credentialed through the National Conservative Christian Church (NCCChurch) to transfer their credentials before they expire. This option is available to all credentialed ministers until June 30, 2019. After June 30 th our normal credentialing process or lateral transfer process will apply. Our heart is to honor your hard work and achievements. However, we must maintain a proper process and maintain our high standards. We want to make the transfer process as simple as possible, but also inform you of our policies and support system. To request a lateral transfer ministers must do the following four simple steps: 1. Review this lateral transfer process and application. This and the additional items listed are available on our website www.experienceordination.org and upon request at Support@ExperienceOrdination.org. 2. Submit the release of information, the application and background screening authorization. Minister s transferring from NCCChurch who have included the release of information o Do not need to submit items 1,2 and 3 at the end of the application. o Please include the answers to item 4. o Item 5 is the application and course fees. We have changed these fees to a transfer fee of $150. This transfer fee takes the place of this year s annual renewal fee and makes your credentials valid through June 30, 2020 and covers the background search fee. o The transfer fee does not include the ongoing monthly dues. Please note that the monthly dues have increased and the annual renewal has increased to include a background search. Feel free to review the Ordination Guide for details. 3. You must be in good standing with dues and reports at NCCChurch to qualify for this special transfer. 4. Sign and return Experience Ministries Code of Ethics and Statement of Faith. If you have questions about the lateral transfer option let us know. We would love to chat with you. In Christ, Dr. David M. Smuin Dr. David M. Smuin President Page 1 of 8
Experience Ministries, Inc. Consent for Release of Information I, (please print full name), Authorize and request (name of organization) National Conservative Christian Church, Inc., to transfer my clergy credentialing records to Experience Ministries, Inc. These records may include all application information, references, background screenings, quarterly reports, annual renewals, financial payments, notes and other information about my clergy status and activities. I authorize and request records beginning with my original inquiry or application for clergy credentials through December 31, 2019 be transferred. This authorization and release of records will be in effect until my records are released and transferred or for one year from the signing of this form. I authorize this release and transfer of records for the purpose of obtaining and maintaining clergy credentials. Signature: Date Address: Date of Birth: Signature of Experience Ministry staff: Date: Experience Ministries, Inc. PO Box 787 Cookeville, TN 38503 www.experienceordination.org Support@ExperienceOrdination.org Page 2 of 8
Thank you for requesting the Application for Clergy Credentialing. We are committed to assisting ministers through training, credentialing, support, and associating together as well as assisting the Body of Christ in reaching the lost, making disciples and transforming lives through Biblically based activities. Our credentialing process focuses on identifying God s calling on your life, understand and acknowledge where you are in the equipping process and to help further equip you for clergy credentialing. Experience Ministries believes in strong relationships. When we accept an application for ministerial credentials it is with the expectation of a long healthy partnership in which we advance the Kingdom of God together. The Body of Christ should co-labor and support one another as Ephesians 4:11-16. The following pages are the Application for Ministerial Credentials through Experience Ministries. They must be printed, filled out, signed and returned to begin the credentialing process. You are welcome to scan and email these forms after they have been filled out, but they must contain a hand signature. We also prefer that you do not alter or recreate the forms. We welcome phone calls, emails or visits to discuss any questions you may have or to help you get started. Blessings, Dr. David M. Smuin Page 3 of 8
Experience Ministries P.O. Box 787, Cookeville, TN 38503 www.experienceordination.org Support@ExperienceOrdination.org MINISTERIAL CREDENTIAL APPLICATION Personal Information Full Name: Phone: ( ) (Please print clearly using ink or type as it should appear on your certificate) Address: City, ST, ZIP: Cell: ( ) Primary Email: 2nd Email: Website: Who referred you to us? Place of Birth: Date of Birth: Preferred Name? Marital Status: Single Married Widow(er) Divorced Remarried Have been divorced? If so, how many times? Last Date: Name of Spouse: Is spouse a believer? Spouse s Date of Birth: Anniversary Date: Children at home: # Have you ever been convicted of a felony? If yes, please give a full explanation separate from this form. What is your present employment? Employer: Address: City: State: Zip: Do you use tobacco, alcohol or drugs? (If so, explain) Salvation, Beliefs and Calling When did you accept Christ? Have you been baptized? Have you experienced Christ in any other way? Explain: What is your denominational background? With what church are you presently affiliated? In what capacity? Describe your ministry? How long have you been in this ministry? Do you receive income from your ministry? Page 4 of 8
Applying for Ministerial Credentials as: Minister of the Gospel Minister of Pastoral Care Minister of Evangelism Minister of Worship Christian Chaplain Christian Education Have you ever been Commissioned, Licensed or Ordained? If so, which? When? By Whom? Are the above credentials current?. If your clergy credentials are current and you are in good standing you can apply for our lateral transfer process. Would you like to apply using the lateral transfer process?. If yes, we will contact you with the requirements and paperwork. Education and Experience Highest grade or degree you completed? In what year? What was your major? Minor? Graduated from: Describe other ministry training you have received: Ministry Experience Please indicate Yes or No to the following questions. Have you ever: Baptized someone Served Communion Officiated a Wedding Officiated a Funeral Officiated a Dedication Preached Visited a Prisoner Conducted a Deliverance Hospital Visits Led Worship Led a Person in a Salvation Prayer Do you have a personal mentor? What is their name? How much weekly time can you commit to spending on credentialing? Internship Information After your application has been accepted you will be asked to review the options for the internship, submit your choice for approval and supply the name, address, phone and email address of the internship supervisor. You are responsible to identify an internship that qualifies and a supervisor who will be willing to oversee and give feedback on your ministry activities. References A minimum of three good references are required. One should be your pastor. Another should be another minister. Please do not list Experience Ministries staff. If you are a pastor, include the name of another pastor who knows you, plus your senior layman. Please do not list your spouse, parents or siblings. Page 5 of 8
Your Pastor Name: Email: Address : City: State: Zip: Local Minister Name: Email: Address : City: State: Zip: Personal Reference Name: Email: Address : City: State: Zip: Personal Reference Name: Email: Address : City: State: Zip: Include the Following with your Application 1. A typed 2-3 page testimony of your conversion, Christian experience, your call and concept of ministry. 2. A current photo. This can be mailed or a digital photo can be emailed. 3. Please describe your past and current ministry experience and your vision for future ministry. 4. Please type the answers to the following questions and include with the application: What is original sin? What is your view of salvation by grace? Explain your understanding of the Godhead (Trinity). Explain the roles of Jesus, the Holy Spirit and the Father in your life. What is your highest priority as a minister? Explain your views on same sex marriage. Would you perform a same sex marriage? (Please keep items 3 & 4 under 3 pages) 5. Application Fees. When we receive a new application we do an initial review to make sure we will consider accepting the application. If we do not accept the application after this initial review the application, explanation and fees are returned. Once we begin processing the application and background those fees are non-refundable. If the candidate is accepted into the program the remaining fees become non-refundable. Application and Background search $135 Examination and Equipping $155 Course, Mentor Fee and Internship (don t include if lateral transfer) $130 Total Cost for Initial Credentialing $420* *You can start the credentialing process by including $230 and make payments on the remaining balance Page 6 of 8
Please Agree by Initialing Each Item I will support the work of Experience Ministries with monthly dues of $30. Dues are billed annually, but payments can be monthly, bi-annually or annually. I will submit my quarterly reports within two weeks after each quarter ends and my annual renewal before it expires each year. The quarterly reporting and the annual renewal process are significant ingredients, which are part of the integrity of this ministry. I will maintain a functioning email and agree to receive regular emails from Experience Ministries, I shall abide by the policies and procedures of this organization and conduct myself according to the Code of Ethical Standards established by this ministry. I shall devote myself to spreading the Gospel of Jesus Christ. I believe in the Statement of Faith of Experience Ministries. I understand that Experience Ministries provides clergy credentialing, training and support. Experience Ministries does not sponsor, provide direct supervision or oversight. It is my responsibility to establish and maintain my ministry, legal entity, and comply with all laws and regulations that govern my activities. Signature: Date: Experience Ministries, Inc. reserves the right to deny, revoke, repossess or withhold ministerial credentials for any reason deemed valid by the leadership of Experience Ministries, Inc.. Page 7 of 8
NOTICE REGARDING BACKGROUND INVESTIGATION A consumer report (background screening report) and/or an investigative consumer report which may include information concerning your character, employment history, general reputation, personal characteristics, police record, education, qualifications, motor vehicle record and mode of living may be obtained in connection with your application for credentialing and/or continued employment with Experience Ministries, Inc. A consumer report and/or an investigative consumer report may be obtained at any time during the application process or during your employment with Experience Ministries, Inc. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your education and/or employment history conducted by Safe Hiring Solutions LLC, P.O. Box 295, Danville, IN 46122 888-215-8296. AUTHORIZATION By signing below, I,, hereby voluntarily authorize Experience Ministries, Inc. to obtain either a consumer or an investigative consumer report about me from a consumer reporting agency and to consider this information when making decisions regarding my credentialing application and/or employment and/or continued employment at Experience Ministries, Inc. I understand that I have rights under the Fair Credit Reporting Act, including rights discussed above. This report may be delivered in either written or electronic form. Print Name (last, first, middle) Social Security Number Date of Birth (MM/DD/YYYY) Drivers License Number Drivers License State (For ID Purposes Only) Any other names I have been known by: Current Address: Previous Addresses (Last 7 Years) Signature Date Check for CA, MN or OK applicants only, if you would like to receive a copy of the consumer report if one is obtained. Page 8 of 8