Ministerial Endorsement Form

Applicant’s Name
Applicant’s Address
Applicant’s City
Applicant’s State
Applicant’s Zip Code
Applicant’s Phone

GNCM, in striving to maintain a high level of integrity in its membership, asks for your assistance. Please furnish us with the following information, to the best of yoru ability concerning the person listed below. Information supplied by you will be placed in the applicant’s file and will be held in confidence.

Informant’s Name
Informant’s Address
Informant’s City
Informant’s State
Informant’s Zip Code
Informant’s Phone
I have known the applicant as...
(Check all that apply)

If Other, please specify:
The relationship was...
(Check all that apply) 		Close
  If Other, please specify:

To the best of my knowledge and judgment, I rate the applicant as follows:

  Excellent Good Fair Questionable Poor Unknown
In Christian life and testimony
In conduct and moral attitude
In accepting responsibility
In meeting financial obligations
In family relationships
In dependability
In dedication to the ministry
How long have you known the applicant?

Have you visited the applicant’s home?

Yes No

In your opinion, does the applicant exhibit a “call” to the ministry?

Yes No

To the best of your knowledge has there ever been an ethical or moral accusation or charge against the above applicant?

Yes No

If the answer is yes to the above question, would you be willing to discuss the matter with the GNCM licensing committee?

Yes No
Additional Information
 
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