Your preferred Name:
(if different from your legal given name above)
Gender *
Select… Male Female
Phone Number *
Phone type Mobile Home Work Other
Marital Status *
Select… Single Engaged Married Common Law Widowed Separated Divorced
What type of license are you applying for? *
PORTABLE LICENSE: Requires theological training at a bachelors or masters level from an accredited Bible college or university. NON-PORTABLE LICENSE: Allows you to work at the ministry or church you are applying to, but your license is non-transferable to other ministries or churches. Theological education is in process, but not yet complete.
Select… Portable Non-Portable Moving from Non-Portable to Portable Transferring Portable License from another CM&A District
Please state your highest level of education and area of study: *
I.e. high school; college diploma; undergraduate certificate or degree; graduate level certificate or degree; doctorate in (area of study)
Please state your highest level of completed Theological education: (if none, answer "none") *
I.e. undergraduate certificate or degree in theology; graduate level certificate or degree in theology, doctorate in theology
Are you already working (or, hired) with a CCD church/ministry? *
Note: "Approval for Ministry" process means you are currently not hired by a church/ministry, but are in the hiring process, and or desire to be licensed with the C&MA, so you can apply to hiring church/ministries
Select… Yes - but, I am not yet licensed Yes - I hold a Portable license from another district within Canada and am transferring Yes - I have a Non-Portable license and am now applying for a Portable license No - I want to engage in the "Approval for Ministry" process No - I have not yet been hired; however, I hold a Portable license and wish to transfer
If you answered "Yes" to the above: what church/ministry(s) are you are working with?
Indicate the name(s) and location(s) of the Church/Ministry(s), that you are working for and/or are in the process of being hired by.
If you answered "No" to the above: Are you currently in discussions with any Church/Ministry regarding a ministry placement?
Answer YES if you are exploring opportunities, applying, discussing, or in talks about a potential ministry position within the District; and or are in discussions regarding a New Venture.
Select… Yes No
Are you in discussions with Regan Neudorf regarding a New Venture? *
Select… Yes No
What is leading you to apply for a license with the Central District of the Alliance, Canada today? *
Please let us know a little about your journey toward the licensing process with the CCD; how you are connected to, or were introduced to The Alliance, Canada (C&MA), and why you are interested in getting licensed to serve in ministry with us.
If currently employed in the CCD: What is the name of the church or ministry where you are employed/serving?
If you are not yet employed, skip this question.
If employed in the CCD: What position do you serve in?
If you are not yet employed, skip this question.
If employed in the CCD: When did you start in this position?
If you are not yet employed, skip this question.
If you have been offered a position, but have not yet started: What is the anticipated start date for your new position within the CCD?
If you have not yet been offered a position within a CCD church/ministry, skip this question.
Do you require licensing to serve as an International Worker (missionary) with Global Ministries? *
This refers to Canadian-based applicants who are looking to serve with The Alliance-Global Ministries; only answer Yes if you are looking to serve oversees and would like to be referred to Global Ministries.
Select… Yes No
Are you applying from a country outside of Canada; or does your current immigration status require a work permit/visa? *
If you are currently residing outside of Canada; or are residing in Canada, but do not already have the necessary permit/visa to legally work in Canada for the job you are applying for, answer YES.
Select… No Yes, I would need to apply for a Canadian work permit/visa Yes, however, I have the necessary work permit/visa for employment in Canada
If you answered "Yes" to the above: What is your country of permanent residence/origin?
Enter the country from which you will be applying for a Canadian Work Permit/Visa
Have you completed a Grip-Birkman assessment? *
Select… Yes No
Have you completed Alliance History and Thought? *
Select… Completed Not Yet Taken Scheduled Grandfathered In Progress
Will you require an interpreter for your licensing interview? *
Select… Yes No I am transferring my Portable License from another CM&A District and do not require an interview
If you are fluent in any languages, other than English, please indicate which language(s) from the list below.
Indicate any and all languages that apply, or leave blank if none apply.
Submit