Renewal of Ministerial Credentials

Introduction

It is time for the review of your credentials as a minister in the Brethren in Christ U.S. Church. Please complete this questionnaire within the next few weeks. If you do not wish to continue your credentials with Brethren in Christ U.S., please complete the requested questions (5).

Do you wish to continue your credentials with the Brethren in Christ U.S.?(Required)

Yes

No

Personal Information

Name(Required)

First Middle Last

Date of Birth(Required)

Address(Required)

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

Primary Phone Number(Required)

Other Phone Number (Work)

Primary Email(Required)

Work Email (if different)

Please upload a current headshot of yourself for your new credential card.(Required)

Accepted file types: jpg, gif, png, Max. file size: 10 MB.

Family Information

I am:(Required)

Single/Never Married

Married

Divorced

Remarried

Widowed

Spouse's Name(Required)

First Last

Do you have any children residing at home or enrolled in post high school education?(Required)

Yes

No

Child 1 – Name(Required)

First Last

Child 1 – Date of Birth(Required)

Child 1 – Residing at Home?(Required)

Yes

No

Check to add another child

Child 2 – Name(Required)

First Last

Child 2 – Date of Birth(Required)

Child 2 – Residing at Home?(Required)

Yes

No

Check to add another child

Child 3 – Name(Required)

First Last

Child 3 – Date of Birth(Required)

Child 3 – Residing at Home?(Required)

Yes

No

Check to add another child

Child 4 – Name(Required)

First Last

Child 4 – Date of Birth(Required)

Child 4 – Residing at Home?(Required)

Yes

No

Check to add another child

Child 5 – Name(Required)

First Last

Child 5 – Date of Birth(Required)

Child 5 – Residing at Home?(Required)

Yes

No

Check to add another child

Child 6 – Name(Required)

First Last

Child 6 – Date of Birth(Required)

Child 6 – Residing at Home?(Required)

Yes

No

Check to add another child

Child 7 – Name(Required)

First Last

Child 7 – Date of Birth(Required)

Child 7 – Residing at Home?(Required)

Yes

No

Educational History

Please enter your highest level completed first, additional education can be added by checking the box below.

#1 – High School/College/University/Seminary(Required)

#1 – Degree Awarded(Required)

#1 – Date of Degree(Required)

Estimates can be used for Month and Day

Check to add additional education…

#2 – College/University/Seminary(Required)

#2 – Degree Awarded(Required)

#2 – Date of Degree(Required)

Estimates can be used for Month and Day

Check to add additional education…

#3 – College/University/Seminary(Required)

#3 – Degree Awarded(Required)

#3 – Date of Degree(Required)

Estimates can be used for Month and Day

Enrolled in Directed Study Program(Required)

Yes

No

Date of Completion (If Completed)

Congregational Membership

Current Congregational Membership(Required)

Denomination(Required)

Other (Please specify)

Vocational Ministry

List all congregations and/or church-related organizations where you have served in vocational ministry. Please enter the most recent role first.

#1 – Congregation/Organization(Required)

#1 – Denomination(Required)

Other (Please specify)

#1 – Position(Required)

#1 – Beginning Date

Estimates can be used for Month and Day

#1 – Ending Date

Estimates can be used for Month and Day

Check to add another role…

#2 – Congregation/Organization(Required)

#2 – Denomination(Required)

Other (Please specify)

#2 – Position(Required)

#2 – Beginning Date

Estimates can be used for Month and Day

#2 – Ending Date

Estimates can be used for Month and Day

Check to add another role…

#3 – Congregation/Organization(Required)

#3 – Denomination(Required)

Other (Please specify)

#3 – Position(Required)

#3 – Beginning Date

Estimates can be used for Month and Day

#3 – Ending Date

Estimates can be used for Month and Day

Check to add another role…

#4 – Congregation/Organization(Required)

#4 – Denomination(Required)

Other (Please specify)

#4 – Position(Required)

#4 – Beginning Date

Estimates can be used for Month and Day

#4 – Ending Date

Estimates can be used for Month and Day

Check to add another role…

#5 – Congregation/Organization(Required)

#5 – Denomination(Required)

Other (Please specify)

#5 – Position(Required)

#5 – Beginning Date

Estimates can be used for Month and Day

#5 – Ending Date

Estimates can be used for Month and Day

Please indicate your current status as a credentialed minister(Required)

In a ministry assignment

Between ministry assigment

Unavailable for a ministry assignment

Retired from active ministry

What is your role?(Required)

Are you actively seeking an assignment?(Required)

Yes

No

If yes, in what ways?(Required)

If no, why do you wish to retain credentials?(Required)

Why do you wish to retain credentials?(Required)

In what ministry or ministerial activities have you been involved?(Required)

Background Check Requirement

The Brethren in Christ U.S. (BIC U.S.) requires every candidate applying for or renewing credentials with BIC U.S to submit a background check through Christian Background Checks. We require background checks of employees and licensed ministers as “due diligence” in protecting the persons and integrity of the ministry of BIC U.S. After submission of this renewal form (including the 2 acknowledgements below), you will receive an email from Christian Background Checks instructing you of your rights and seeking your authorization for a background check to be conducted. You will also receive instructions on how to pay for the background check (approximately $18.95). Do not put your maiden name in the “Alias” box, as that will double the county searches. Searches are done primarily by SSN. The Brethren in Christ U.S. will follow the requirements of the Fair Credit Reporting Act in conducting background checks and may use the information obtained from the resulting report for decisions related to the applicant’s credentialing. BIC U.S. will not discriminate against the applicant or misuse the information as provided by any applicable federal or state equal opportunity laws or regulations, and in accordance with the Brethren in Christ Manual of Doctrine and Government.

Feedback Opportunity

The CMD would welcome your suggestions or input with regard to this periodic review process and ways to maintain ministerial accountability among us.