Pastoral License Application for VLC THIS FORM IS TO BE COMPLETED BY AN INDIVIDUAL APPLYING TO BE LICENSED AS A PASTOR. "*" indicates required fields What is your first and last name?* First Last What is your date of birth?*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What is your phone number?*What is your email address?* What is your home address?* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code What is your marital status?* Married Single Divorced Separated Widowed Engaged What is your spouse's first name, last name, and date of birth?*What is your spouse's occupation?* If you use social media, please list the sites/apps and your username on those sites.*FAILURE TO LIST ALL SOCIAL MEDIA SITES USED IS GROUNDS FOR THIS APPLICATION BEING DECLINED.Social Media Site/AppUsername Add RemoveIf your spouse uses social media, please list the sites/apps and usernames for those sites.*FAILURE TO LIST ALL SOCIAL MEDIA SITES USED IS GROUNDS FOR THIS APPLICATION BEING DECLINED.Social Media Site/AppUsername Add RemoveHiddenHave you ever been convicted of a felony? If yes, please explain.*How long have you been an active member of Victory Life Church?* Describe your walk with God starting with when you first met Him.*If you have children, for each child, please list their first name, last name, and age.*First & Last NameAge Add RemovePlease list your job history starting with your current employer going back over the last 10 years. If you have any job history beyond 10 years that you feel would be helpful for us to know please include it as well.*Please list your education starting with High school.*Beyond formal education, have you received any training in preparation for being licensed as a Pastor?* When did you become a born again Christian?*When did you receive the Holy Spirit? How do you know?*Why do you desire to be licensed through Victory Life Church?*Have you ever been licensed, credentialed, or ordained by another organization as a pastor or minister?* Yes No HiddenWhen and what organization(s)?*Have you ever had your pastoral license/credentials withdrawn? If yes, please provide a statement describing when and for what reason.*HiddenWhat area of ministry do you feel God has called you to?* Please summarize how you have been serving the Lord and ministering to others throughout your life.*Do you agree 100% with the Apostles Creed? If not, please explain.*Have you ever served in the Armed Forces?* No Yes, Currently Yes, Discharged Honorably Yes, Discharged Dishonorably EmailThis field is for validation purposes and should be left unchanged.