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
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
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
Inquirer's Statement
I hereby apply to be enrolled by __________ Presbytery as a candidate.
(name of presbytery)
Type a question

I certify no civil, criminal, ecclesiastical complaint has ever been sustained or is pending against me.I am unable to make the above certification. I offer instead on the attachment a description of the complaint and/or outcome of the situation with explanatory comments.
Upload description of the complaint and/or outcome of the situation with explanatory comments here.

Browse Files

Cancelof
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