Application for Ministerial Status Full Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Date of Birth MM DD YYYY Employer Location Church Membership Offices/ Positions Held Pastor Sharing Your Journey Share with the committee your faith journey, your testimony, or spiritual pilgrimage. Tell us about your call to licensed ministry. To what ministries do you hear God calling? Has this changed over time? How do you see licensed ministry as part of your answer to that call? Describe what you do to keep yourself spiritually, physically, and emotionally health. What is your favorite scripture passage? Why? Please list any formal education beyond high school here and send a copy of that transcript to the SOC Office. If you only completed high school, please list the name of your high school below and your graduation date. Educational Preparation for Ministry (Completed/ Planned) Involvement in your local church, your association, conference, and national setting of the UCC. List Local Community Involvement Have you been authorized (licensed or ordained) in another denomination? If so, please include documentation or certificate. Name and Contact Information for Academic References Name and Contact Information of Personal References Thank you!