CPM Form 5A: Application to be Enrolled by Presbytery as a Candidate

CPM Form 5A: Application to be Enrolled by Presbytery as a Candidate

PC(USA) Form; Revised December 2011
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Name of applicant

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main phone

Area CodePhone Number
Phone type
Alternate phone

Area CodePhone Number
Phone type
Permanent address (if same, write same)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church of membership
Church address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date enrolled as an inquirer

MonthDayYear
2 digit month, 2 digit day, 4 digit year
In what church occupation are you interested in at this time?
(e.g. pastor, youth minister, mission worker, educator)
Present or most recent school attended
Location
Date of graduation

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Inquirer's Statement
I hereby apply to be enrolled by __________ Presbytery as a candidate.
(name of presbytery)
Type a question
Upload description of the complaint and/or outcome of the situation with explanatory comments here.

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I certify that the information in this application is true and correct. If recommended to be a candidate for the ministry of Word and Sacrament, I promising reliance upon the grace of God to participate diligently and wholeheartedly with the session and presbytery's committee/commission in matters which concern my preparation.
References for Outcomes of Inquiry
Name

TitleFirst NameMiddle InitialLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred phone number

Area CodePhone Number
Phone type
Email
example@example.com
In what capacity have you worked with this person?
Name

PrefixFirst NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred phone number

Area CodePhone Number
Phone type
Email
example@example.com
In what capacity have you worked with this person?
Name

TitleFirst NameMiddle InitialLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred phone number

Area CodePhone Number
Phone type
Email
example@example.com
In what capacity have you worked with this person?
Please also submit your required responses to the Candidacy Questions and your personal Statment of Faith.
Should be Empty:

CPM Form 5A: Application to be Enrolled by Presbytery as a Candidate

Inquirer's Statement

References for Outcomes of Inquiry