Heartland Alliance Credentialing Application

Your name *

Email address *

Phone number *

Address *

Please attach a 2-3 page testimony of your conversion to Christ. *

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Applicant's Ministry History

The Heartland Alliance provides credentials for individuals who identify with our vision and values, who meet the stated requirements and whose ministry requires credentialing.

In what ministry are you involved? *

Why do you desire Heartland Alliance credentials? *

Do you agree with the Heartland Alliance vision, values and doctrinal statement? If not, in what areas do you find yourself with a differing view? *

These can be found at our website: https://www.theheartlandalliance.com/

What type of ministry training have you received? *

Describe your ministry history. *

What are your two strongest areas of ministry? *

Theological History and Training

How have you developed your personal theological views? *

What authors or Bible teachers have influenced you the most? In what way? *

Applicants Marriage, Family and Finances

If married, describe the present status of your marriage. Include your spouse’s feelings about ministry and your involvement.

If married, please share your spouse's name and phone number.

If you are a parent, describe your relationship with each of your children.

Describe the state of your finances, any history of financial problems and any debt you may presently have. *

Applicant’s Character and Personal Concerns

Although we help restore ministers sidelined from ministry by personal crisis, our greater desire is to head problems off before they materialize into crisis. We highly value transparency with one another, inner healing and mutual accountability. It is our desire to help make you stronger. The following questions are designed to help us help you.

Do you have any concerns about your personal life, habits or struggles you would like us to know about and help you with? Anything shared in this section will be shared only among the apostolic team unless permission is gained by you in writing. *

Personal Character References

Please provide the contact information for four individuals who can provide personal character references for you. At least one of these needs to be a minister who has been your pastor.

Pastoral Reference 1 Name *

Pastoral Reference 1 Email *

Pastoral Reference 1 Phone Number *

Personal Reference 2 Name *

Personal Reference 2 Email *

Personal Reference 2 Phone Number *

Personal Reference 3 Name *

Personal Reference 3 Email *

Personal Reference 3 Phone Number *

Personal Reference 4 Name *

Personal Reference 4 Email *

Personal Reference 4 Phone Number *

Doctrinal Questionnaire

Explain your view of the incarnation. *

What is your view of the baptism in the Holy Spirit? *

Explain your view on the subject of grace. What are its functions in the believer’s life? *

What are your views on eschatology? *

Extra Space for Prior Questions:

If you have written your personal written testimony and/or further information that would help the Heartland Alliance get to know you, please attach your documents here.

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