IAHR APPLICATION FOR ORDINATION

1. Attach a current photo. (head and shoulder only)

2. Include $50.00 processing fee

3. Please type or print clearly. If the question does not apply,

please type N/A (not applicable).

A. PERSONAL DATA

Please type or print full legal name:

NAME (last)(first)(middle)(maiden name)

PRESENT ADDRESSCityState/ZipHome Telephone

Work PhoneCell PhoneEmail Address

Marital Status: ___ Engaged ___Married ___Single ___Divorced

Name of Spouse or Fiancé(e) ______

___ Yes ___ No Is your spouse or fiancé(e) saved and filled with the Holy Spirit?

___ Yes ___ NoDoes your spouse or fiancé(e) support your call and ministry? If not, why?

Fill in Regional Director’s Name, Address, Phone Number, Fax Number, Email

B. AFFILIATION AND REFERENCES

List the name of the fellowship,or body of believers you are connected with.

Name of Fellowship Pastor/LeaderPhone

AddressCityStateZip

Who besides God do you have relationship with and feel accountable to? Please list their name, email, and telephone number.

C. PERSONAL/MINISTRY CHARACTER REFERENCES

(Someone other than a relative who has known you well for a year or more.)

NameAddress

CityStateZipPhone

NameAddress

CityStateZipPhone

D. YOUR MINISTRY

BRIEFLY explainwhatyou feel God has called you to do.

______

Are you or have you ever been licensed or ordained? If so, denomination/organization and date credentialed. (Please send copy of credentials.)

Are you still licensed or ordained through them?______

Understanding that you are called to minister do you also feel you are called as part of the 5 fold ministryand if so which one?

Do you agree with the IAHR Statement of Faith? ___ Yes ___ No

Why do you want to be ordained by IAHR?

Have you previously submitted an application to IAHR for ordination? ___ Yes ___ No If so when?

Please list the name, address and telephone number for the Healing Rooms you direct.

E. YOUR SPIRITUAL LIFE

Are yousaved and filled/baptized in the Holy Spirit?: What was the evidence that you were filled?

Understanding that a minister of the Gospel must maintain the highest moral and ethical standards, do you feel there is any area of your personal life that would hinder your ministry at this time? ___ Yes ___ No If yes, please explain:

Although we believe all that is in your past is under the blood, we would like to know if

you have ever been convicted of a felony or spent time in prison? ___ Yes ___ No If yes, please explain on a separate sheet of paper.

F. EDUCATIONAL HISTORY (Circle highest level attained.)

1 2 3 4 5 6 7 8 9 10 11 12 GED VOCATIONAL/TECHNICAL 1 2

College 1 2 3 4 Master’s Specialist Doctorate Bible School

How have you been trained for ministry? Have you attended special seminars and conferences that have further equipped you? Please list information on a separate sheet.

G. STATEMENT OF TRUTH

I understand that all items submitted to IAHR as part of the application process will be held in strictest confidence. Only those persons with a need to know will review it. I grant IAHR and its leadership permission to verify information on this application.

I hereby state that all of the information contained on this application is correct and true.

SignatureDate

For Regional Office Use Only

Recommended for ordination _____Not recommended for ordination _____

Regional Director’s SignatureDate

Comments:

For International Office Use Only

Approved _____Disapproved _____

Elaine Perkins, Associate DirectorDate

Comments:

Ordination Date: Place of Ordination:

MINISTRY RECOMMENDATION

(Applicant, please give this ministry recommendation form to be filled out by someone in ministry that you have worked under. Please have this form sent directly to us from the person filling out the recommendation.)

Name of Applicant (last) (first) (middle)

Present AddressCityState/ZipHome Telephone

Work PhoneCell PhoneEmail Address

Your name has been given as a personal reference for the above named person who is applying for ordination with IAHR. Serious consideration will be given to your comments; therefore, we ask that you carefully complete this form. Please return it directly to the IAHR office at the address listed below. Please be assured that your comments will be held in strictest confidence.

1. How long have you known the applicant? YearsMonths

2. How well do you know him/her? (check one)

By name/sight Fairly well – numerous personal contacts

Casually – few personal contacts Very close personal relationship

3. Please give your knowledge of the applicant’s involvement in ministry.

Comments:

4. Give what you consider to be the applicant’s strong points.

5. Give what you consider to be the applicant’s weak points.

6. Please indicate below your rating status of the applicant: No Chance

Above AverageAverageBelow Averageto Observe

Leadership

Responsibility

Ability to communicate

scriptural truth

Moral Character

Integrity/Honesty

Emotional Stability

Personal Appearance

Sense of Appropriateness ___

7. Does the applicant have any personality traits which impair his/her relationship with others?

8. Please share with us any information you may know about the applicant that would help in our evaluation for ordination. Specific incidents may be given or an overall personality appraisal.

9. Having observed this person in the ministry, would you recommend them for ordination with IAHR? highly recommend recommend

with reservations not recommended

Thank you. We appreciate your assistance.

Your Name: Occupation:

Address:

City: State: Zip:

Phone: Home: Work: Cell:

Date:

Fill in Regional Director’s Name, Address, Phone Number, Fax Number, Email

PERSONAL RECOMMENDATION

(Applicant, please give this personal recommendation form to be filled out by someone that has known you for five years or more. Please have this form sent directly to us from the person filling out the recommendation.)

Name of Applicant (last)(first)(middle)(maiden name)

Present AddressCityState/ZipHome Telephone

Work PhoneCell PhoneEmail Address

Your name has been given as a personal reference for the above named person who is applying for ordination with IAHR. Serious consideration will be given to your comments; therefore, we ask that you carefully complete this form. Please return it directly to the IAHR office at the address listed below. Please be assured that your comments will be held in strictest confidence.

1. How long have you known the applicant? YearsMonths

2. How well do you know him/her? (check one)

By name/sight Fairly well – numerous personal contacts

Casually – few personal contacts Very close personal relationship

Comments:

3. Please give your knowledge of the applicant’s involvement in ministry.

Comments:

4. Give what you consider to be the applicant’s strong points.

5. Give what you consider to be the applicant’s weak points.

6. Please indicate below your rating status of the applicant: No Chance

Above AverageAverageBelow Averageto Observe

Leadership

Responsibility

Ability to communicate

scriptural truth

Moral Character

Integrity/Honesty

Emotional Stability

Personal Appearance

Sense of Appropriateness ___

7. Does the applicant have any personality traits which impair his/her relationship with others?

8. Please share with us any information you may know about the applicant that would help in our evaluation for ordination. Specific incidents may be given or an overall personality appraisal.

9. Having observed this person in the ministry, would you recommend them for ordination with IAHR? highly recommend recommend

with reservations not recommended

Your Name: Occupation:

Address:

City: State: Zip:

Phone: Home: Work: Cell:

Date:

Fill in Regional Director’s Name, Address, Phone Number, Fax Number, Email