1. Full Name _____________________________________________________ Date _________

2. Address __________________________________________City_______________________

3. Place of Birth _____________________Date of Birth _____________________Sex __________

5. Marital Status: Single______________ Married _____________Anniversary Date___________

6. Name of Spouse ____________________Born Again? ___________When? ________________

7. Spouse date of birth______________________________________________________________

8. Are you and your spouse in unity regarding your ministry? ______________________________

9. Names and ages of children________________________________________________________

10. When were you saved________________ When were you baptized in water? ________________

When did you received the baptism in the Holy Spirit? __________________________________

11. Education: Years completed _______________________________________________________

What college, Bible School or correspondence courses? _________________________________

12. I am applying for: Able Worker Credential?_____ Ministerial License? _____Ordination? _____

13. What is your denominational background?____________________________________________

14. Have you ever been licensed? _________ When? __________By Whom? __________________

15. Are the above credentials current? ____________Comments: ____________________________

16. With what local church are you presently affiliated? ____________________________________

17. Is this a Power of Love affiliated church ? ____________________________________________

18. What is your ministry (describe) ____________________________________________________

__________________________________________________________________________________

19. How long have you been in this ministry? ____________________________________________

20. What is your present employment? Name: _________________________________________

Note: Four references are required. If you are a pastor, include the name of another pastor who knows you, and your head elder in the employer space above. If your pastor is your employer lease list another Christian leader. Please list the name of another P.O.L.M. member who knows you. Please do not list your spouse as your fourth reference

…………………………………Include the following with your application……………………..

(1.) 1 to 2 page typewritten testimony of conversion experience and your call and concept of the ministry. Describe your ministry now

We Believe:

1. The Bible to be the inspired and infallible authoritative 5. The Gospel includes holiness of heart and life,

Word of God. Healing of the body, and a definite personal

2. There is one God eternally manifested in the persons of experience with the Holy Spirit whereby the gifts

the Father, Son, and Holy Spirit. of the Holy Spirit become active in the life of

3. In the virgin birth of Jesus Christ, in His vicarious and the believer.

Atoning sacrifice through His shed blood, in His bodily 6. In the bodily resurrection of believers at the

Resurrection, in His ascension, and in His personal end time; the just into eternal life and the unjust

Return and power and glory upon this earth. Into eternal damnation.

4. Regeneration and conversation through faith in Jesus 7. In the Spiritual unity of all believers in our Lord

Christ is absolutely essential for the salvation of lost Jesus Christ.

And sinful humanity.

We believe there are other God-Called fellowships, organizations, and associates of which Power of Love Ministries Inc. is one of many.

Power of Love Ministries, Inc. maintains the rights to deny, revoke, repossess or withhold ministerial credentials.

I will support the work of P.O.L.M with a monthly contribution o 1% of my total income, considered professional dues, and look to God to honor his commitment of faithfulness. I shall also do my best to spread the Gospel of the Kingdom of God and the general principles of the fellowship.

I believe the above confession of faith and agree to uphold the high standards of the ministry of Jesus Christ, and of Power of Love Ministries, Inc.

Signature ________________________________________________Date: ____________________

There is a non-refundable application fee of $10.00. Please remit with your application. There is an annual renewal fee to pay for secretarial duties and materials in reference to processing of credentials. Please make your checks payable to Power of Love Ministries, Inc.