ORDER FORM - Minister's License

FOR MISSISSIPPI SOUTHERN SECOND JURISDICTION ONLY | Credentials for the Church of God in Christ

If you are not a member of the Second Ecclesiastical Jurisdiction of Southern Mississippi, DO NOT USE THIS FORM. This form is ONLY for use by pastors within the jurisdiction.

Have you completed the Credentialing Process in ARC?

ARC Requirements for a License

The new minister has a completed a Background Check in ARC. The new minister has completed the Sexual Misconduct Course in ARC.

If you cannot affirm that both are complete, contact the Jurisdictional Secretary at Secretary@mssCOGIC.org. He will check the status of the Minister to confirm that the New License can be ordered.

Pastor's Information

Name - Pastor

Email - Pastor

This address will receive a confirmation email

Phone - Pastor

Address - Pastor

New Minister's Information

Name - Minister

Local Church Name

FEES

License Fee 37.50

Convenience Fee 10.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

The Convenience Fee covers the cost of processing your payment by credit card and mailing the license.

ORDER FORM - Minister's License

Description

Please Fix the Following