2022 Pastor’s Conference Ordination Registration

A candidate must complete this application in its entirety, including uploading required documents and reference forms. Applicants are subject to a criminal background check. If you have any questions, please contact Larry Mauriello at [email protected].

Ordination Application 2022

Step 1 of 9 - Personal Information

11%

Date of Application(Required)

MM slash DD slash YYYY

Personal Information

Name(Required)

Prefix First Middle Last Suffix

Preferred Name for Certificate(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth(Required)

MM slash DD slash YYYY

Gender(Required)

Male

Female

E-mail(Required)

Daytime Phone(Required)

Mobile Phone(Required)

Are you a U.S. citizen?(Required)

Yes

Languages Spoken

Marital Status

Single

Married

Wedding Anniversary

MM slash DD slash YYYY

Marital History

None

Widowed

Divorced

How many minor children do you have?

Date You Accepted the Lord(Required)

MM slash DD slash YYYY

Spouse Information

Name

First Last

Date of Birth

MM slash DD slash YYYY

Phone

E-mail

Gender

Male

Female

Is your spouse a U.S. citizen?

Yes

Languages Spoken

Date Your Spouse Accepted the Lord

MM slash DD slash YYYY

Conversion/Faith

1. Where and how were you converted?(Required)

2. Please describe your experience of receiving the baptism of the Holy Spirit.(Required)

3. When did you receive this baptism?(Required)

4. Please describe any gifts of the Spirit you have received.(Required)

5. Are you or do you intend to minister full-time?(Required)

6. Have you previously applied for Church credentials?(Required)

Yes

7. Do you currently hold an active ordination or ministerial license?(Required)

Yes

Please list each credential, issuing entity, state issued, a contact name, and contact phone number or email address. (for verification if necessary)(Required)

8. Have you ever been dismissed from another religious organization or had a credential revoked?(Required)

Yes

Please give a detailed explanation and contact information of the organization or group.

Educational Background

What High School did you attend? Please include the city and state if possible.

School Name?

Address

City State / Province / Region Country

Did you graduate?

Yes

What was the last grade you completed?

What institutions of higher learning did you attend? Please include the name(s),state(s), or country(ies).

School Name

Address

City State / Province / Region Country

Did you graduate?

Yes

How many hours completed?

Degree Achieved/Major

What is the name of the issuing institution?

Please describe any theological training you have received.

Ministry and Employment

Which of the choices below best describes your ministry role?

Full-time paid staff

Part-time paid staff

Volunteer

How many hours each week are dedicated to this service?

Please enter a number from 1 to 100.

Name of Church You Attend(Required)

Senior Pastor's Name?

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How many years have you attended this Church?

Church Phone

Church Website

Name of Church where you currently minister or volunteer (if applicable).

How many years have you attended this Church?

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position Title/Position Held

Please describe your ministry responsibilities.

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Contact Name

Church Phone

Church Website

Describe your call to the ministry and what affirms God's will for you in submitting this application.

Benny Hinn Ministries Background Information and Inquiry Release

In connection with my potential ordination through Benny Hinn Ministries (BHM), I understand that it will initiate a background investigation and inquiry on me, including criminal, driving, integrity, credit, and other reports. These reports will include information as to my character, work habits, performance, and experience. Further, I understand that BHM is an authorized agent requesting information from various Federal, State and other agencies which maintain records concerning my past activities relating to my driving, criminal, civil and other experiences as well as claims involving me in the files of insurance companies. READ CAREFULLY: I hereby acknowledge and agree that WHF SHALL NOT BE LIABLE for the use of inaccurate or incomplete information provided to them by any investigative firm or authorized agent with which BHM contracts or subcontracts in connection with this release. Additionally, any investigative firm or authorized agent SHALL NOT BE LIABLE for gathering or use of inaccurate or incomplete information in connection with this release.

I understand that the information obtained by BHM pursuant to this release is confidential and will be protected as much as reasonably possible.(Required)

Yes

I authorize without reservation, the Custodians of Records and other sources of information pertaining to me to release any and all records and information upon presentation of this signed release.(Required)

Yes

I hereby waive any privilege which may exist with regard to such records and express my desire that the investigator be given full and complete access to any records, without the custodian obtaining further consent from me.(Required)

Yes

I further agree that a reproduced copy of this Release shall have the same force and effect as the original. This authorization is valid for the entire period of my service as an employee or volunteer with BHM.(Required)

Yes

Legal Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth(Required)

MM slash DD slash YYYY

Gender(Required)

Male

Female

Phone(Required)

E-mail(Required)

Are you a U.S. citizen?(Required)

Yes

SSN, INS status (if applicable) or passport number:

Drivers License Number/Issuing State

If no drivers license, please list an alternative government ID such as a passport, military ID, etc. Be sure to include the type of ID, ID number and the issuing entity.

List any other name used such as maiden names, aliases, nicknames or any name other than your given legal name within the past 10 years.

Have you lived in more than one residence in the last 10 years? If so, complete the field below.

Yes

List any residence where you have lived in the last 10 years.

Statement of Ethical Behavior

A person seeking ordination must have the temperament of and exhibit evidence of the following behaviors based on 1 Timothy 3: 1. Demonstrate a desire to serve God 2. Blameless 3. Viewed by others as temperate and self-disciplined 4. Sober minded, contemplative and not given to irrational or irresponsible behavior 5. Exhibit good (reasoned) behavior in all circumstance 6. Friendly, compassionate, and welcoming 7. Able to teach 8. Not a substance abuser 9. Not violent 10. Not covetous 11. A successful family person with a temperate family 12. Spiritually and emotionally mature, well-seasoned, and educated 13. Possess a solid testimony and be of sound reputation

Declarations:(Required)

I certify that I meet all of the above qualifications.

I have never been charged with, accused of, investigated for, moved or been moved because of, or transferred or been transferred to another location or position because of any actual or alleged sexual misconduct or sexual harassment of any kind or nature.

I do not now have and have never had a criminal record or any criminal charges pending against me.

Supporting Documents

Below you may attach supporting documents such as ministry references, personal references, resume, photo, or further explanations of any question above where you found there to be inadequate space to complete your response. You may also email these documents to [email protected]. Your Information will be handled in a responsible manner and never shared with a 3rd party.

Photo of Applicant