You are eligible to apply for Candidacy for Certification as a PMA if you have successfully completed at least three of the core courses required for certification. If feedback has been provided by leaders of the Parish Ministry Associate Program, it should have been favorable and encouraging for you to apply for PMA Candidacy.

 

Contact information:

Name_____________________________________________________________________

Address____________________________________________________________________

City ____________________________________ State ___________________________ Zip _____________

Date of Birth ____________________________________ E-mail _____________________________________

Phone (home) __________________________________ Phone (work) ________________________________

Church Membership:

Congration Name __________________________________________________________________________

City __________________________________________ State _________________

Area MInistry:

___	1	Northwestern Kansas
___	2	Central & Southwestern Kansas
___	3	North Central Kansas (incl. Salina & Lindsborg)
___	4	North Central Kansas (incl. Manhattan)
___	5	South Central Kansas (incl. Wichita & Hutchinson)
___	6	Northeastern Kansas/Northwestern Missouri
___	7	Kansas City Metro Area
___	8	Southeastern Kansas & South Central Missouri
___	9	Central & Northeastern Missouri
___	10	St. Louis Metro Area & Southeastern Missouri

Recent participation in your congregation's activities, ministries....especially as pertaining to your skills and abilities:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Family:

___

Married

___

Divorced

___

Widowed

___

Single

Spouse's Name ______________________________________________________

Children's Names and Ages: ______________________________________________________________________________________________

Education:

High School ___________________________________________ Graduation Date _______________________

College(s)	Majored In	Degree Earned	Degree Date

Employment History:

Organization	Begin/End Dates	Position

(If needed on this...continue on another sheet of paper.)

PMA Core Courses Completed

I have successsfully completed the following core courses (minumum of three full courses including required papers) for PMA credit:
	Course Name	Date(s)	Instructor(s)
____	Old Testament
____	New Testament
____	Theology, Lutheran Confessions, and Polity
____	Christian Ethics
____	Worship

Application Information:

Please check "Yes" or "No" for each question. Explain a "No" answer in Question 1 or any "Yes" answers to Questions 2-3 in the space below or on a separate sheet of paper. These answers do not automatically disqualify you from consideration.
Yes	No
____	____	1.	Are you familiar with the document "Visions and Expectations" (copy available on the ELCA website: "AIM Vision and Expectations")? Do you intend to live in accordance with its standards of conduct as a Parish Ministry Associate?
____	____	2.	Have you engaged in any behavior or been involved in any situations that, if they became known by the church, might seriously damage your ability to continue as a Parish Ministry Associate candidate?
____	____	3.	Is there additional information you believe the Parish Ministry Associate Team should know?
Explanation/Additional Information Pertaining to Above Questions:
Indicate the item number from above and the additional information. Use additional paper if required.

 

Please use a separate sheet of paper to complete the following two exercises:

1.	What did you discern during the time of your PMA Discovery Process about your gifts and interests for ministry? Why are you interested in the Parish Ministry Associate Program?
2.	Write a Spiritual Autobiography -- share your faith journey (maximum 500 words).

 

I affirm that the information in this application is correct. I understand that a background check is required, and approve and authorize the Central States Synod to conduct a background check which may be through sources that provide this service. Applicant's Signature _____________________________________________ Date ______________

Send completed Enrollment Forms 3 and 4 to:

Parish Ministry Associate Program

Central States Synod - ELCA

3210 Michigan Ave

Kansas City, MO 64109-2055

Please enclose #100.00 application fee payable to Central States Synod.

For office use only:

Action taken: _________________________________________________________________________________

Bishop or Bishop's Designee's Signature ___________________________________________________________

Date ________________