Office of Clergy Life - District Office

Please complete this form for ANYONE that you are considering placing in an appointment that is NOT a Certified Candidate with NCCUMC.

PLEASE NOTE: This person is not eligible to be appointed or assigned to a church until you hear back from the Office of Clergy Life.

Candidates Formal Name*
First Last
Candidate's Email*
Enter Email Confirm Email
Candidate's Phone*
District*
This candidate a (an)*
choose all that apply.
Name of person who is completing this form?*
If needed, who will be paying for the background check and psych assessment?*
- Candidate
- District
Additional information
please leave any comments/ information for the Ministerial Relations Team regarding this candidate.
Email
This field is for validation purposes and should be left unchanged.

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