Personal Information Name (Required) Contact Email (Required) Please provide your Sending Church Address (Required): Please provide your Primary Residence Address (Required): Do you have a Field Address? YesNo Do you use a Clearing House? NoYes Please provide a brief testimony of your Salvation. You may attach a document if desired (size limit of 512KB) or cut and paste into the field below. Are you currently married? YesNo Have you or your wife ever been married to someone else? NoYes If yes, please explain: If currently married, please provide a brief testimony of your wife's Salvation. You may attach a document if desired (size limit of 512KB) or cut and paste into the field below. Please provide a brief testimony explaining the Lord's call on your life. You may attach a document if desired (size limit of 512KB) or cut and paste into the field below. Please list any Bible Colleges, Institutes, or Seminaries attended and any relevant experience. (Required) What would best characterize your style of music for personal and ministry use? TraditionalContemporaryBlended Bible Position From which version(s) of the Bible do you preach and teach? (Required) Do you study the Bible from any other version other than those listed above? NoYes Do you believe the English Language Bible version(s) listed above to be (choose all that apply): PreservedPlenaryInfallibleInerrant Please select your position on the return of Christ: PremillennialPostmillennialAmillennialUndecided The Genesis account of Creation to as present in the Bible describes: Six 24-hour daysThe Gap TheoryThe Day Age TheoryTheistic Evolution Church Doctrine In the New Testament, what does the word “church” mean? Universal and InvisibleLocal and VisibleBoth Options SimultaneouslyNeither Option Listed When did Jesus Christ establish the New Testament church? By Christ during His earthly ministryAfter the Resurrection but before PentecostOn the day of PentecostAfter the day of Pentecost In regards to accepting new members, the Bible teaches a church must (may): Accept baptism done under the authority of a Baptist church of like faith and practiceAccept baptism done by Baptist or “Baptistic” churchesAccept any baptism done by immersion following salvationAccept any baptism regardless of method Please select your position on those who may partake of the Lord’s Supper? Open, or available freely to any Christian present at the timeClose, or available to members of other churches of like faithClosed, or available only to the membership of the administering church The Bible teaches which of the following elements are acceptable in the observance of the Lord’s Supper? Unleavened bread and alcoholic wineUnleavened bread and non-alcoholic grape juice Salvation Position Does the Bible teach that Salvation requires Repentance? YesNo Does the Bible teach that “God unconditionally elects some to be saved, and some to be lost.” YesNo Does the Bible teach that “Once a person trusts Christ that Salvation can never be lost (for any reason).” YesNo