NOTE: The following forms may be prepared and used by the local church
as needed.

Local Minister’s License

THIS IS TO CERTIFY that _________________________ is licensed as a Local Minister in the Church of the Nazarene for one year, provided that _________________________ spirit and practice are  such as become the gospel of Christ, and _________________________ teachings correspond with the established doctrines of the Holy Scriptures as held by said church.

By Order of the Church Board of the _________________________ Church of the Nazarene.
Done at _________________________, this _________________________ day of ____, (year).




Recommendation to the District Assembly

(to be completed annually for district licensed ministers)

(Check the appropriate board.)

❐ The Church Board of the _________________________
❐ The District Advisory Board of the _________________________ (Manual 225.13)
recommends to the (Ministerial Credentials Board) District Assembly for:

District Minister’s License
Renewal of District Minister’s License
Renewal of Deaconess’ License
Renewal of Director of Christian Education License
Ministry Role Certification (Manual 503–528)
CED—Christian Education Minister (ministers employed by a local church school)
EDU—Education (employed to serve on the administrative staff or faculty of one of the educational institutions of the Church of the Nazarene)
EVR—Evangelist, Registered (is devoted to traveling and preaching the gospel as his or her primary ministry, promoting revivals and spreading the gospel abroad in the land)
GA—General Assignment, Missionary (appointed by the General Board through the Global Mission Committee to minister for the church)
GA—General Assignment, Other (elected or employed to serve in the General Church)
PSV-FT—Pastoral Service Full-Time
PSV-PT—Pastoral Service Part-Time (associate pastor, performing pastoral service in connection with a church, in specialized areas of ministry recognized and approved by the appropriate governing, licensing and endorsing agencies)
SER—Song Evangelist, Registered (devotes the major portion of his or her time to the ministry of evangelism through music as his or her primary assignment)
SPC—Special Service/Interdenominational (in active service in a manner not otherwise provided for, which must be approved by the district assembly upon recommendation by the District Advisory Board. Persons designated SPC are required to maintain relationship with the Church of the Nazarene and will submit in writing to the District Advisory Board annually, the nature of their ongoing connection with the Church of the Nazarene.)

Review the minimal requirements for ordination (Manual 533.3, 534.3) and also the procedures for formalization of relationship, either paid or unpaid. (Manual 159–159.3) This is important for establishing and maintaining the candidate’s history of ministry.

If a Ministry Role designation of PSV-FT or PSV-PT is recommended for the coming year, has the written approval of the district superintendent been received (129.27; 159–159.2)?
❐ Yes      ❐ No


If a designation other than “STU” or “U” is indicated above, describe the formal relationship that exists with the candidate, as approved by the church board and the district superintendent.


We certify that _________________________ has fulfilled all the requirements for such a request.
By vote of the Board this _________________________ (date) and by receipt of a letter of permission from the district superintendent this _________________________ (date).



Referred ❐      Reported ❐      Disposition _________________________

NOTE: Please mark both a recommendation for licensing and a recommendation for the individual’s ministry role certification.


Certificate of Commendation

This certifies that _________________________ is a member of the _________________________ Church of the Nazarene at _________________________ and is hereby commended to the Christian confidence of those to whom this certificate may be presented.


Date _________________________, ____ (year)

NOTE: When a certificate of commendation is given, that person’s membership immediately ceases in the local church issuing the certificate. (111.1)


Letter of Release

This certifies that _________________________ has been until this date a member of the _________________________ Church of the Nazarene at _________________________ and, at h__ request, is granted this letter of release.


Date _________________________, ____ (year)

NOTE: Membership terminates immediately upon issuance of a letter of release. (112.2)


Transfer of Members

This certifies that _________________________ is a member in the _________________________ Church of the Nazarene at _________________________ and at h__ request, is hereby transferred to the _________________________ Church of the Nazarene at _________________________ in the _________________________ District.

When the reception of this transfer is acknowledged by the receiving local church, membership in this local church will cease.



Date _________________________ (year)

NOTE: A transfer is valid for three months only. (111)


Transfer Acknowledged

This certifies that _________________________ has been received into membership by the _________________________ Church of the Nazarene at _________________________ this _________________________ day of , ____ (year).




Official district forms may be secured from the General Secretary, 17001 Prairie Star Parkway, Lenexa, KS 66220, USA


Section 1. In Trial of a Church Member
Section 2. In Trial of an Ordained Minister
Section 3. In Trial of a Licensed Minister

Bills of Charges may be secured from the General Secretary, 17001 Prairie Star Parkway, Lenexa, KS 66220, USA