Thank you for your interest in becoming a part of UMC Spiritual Care Partners. You will be contacted with more information when your form has been processed.
Spiritual Care Partners
To register for the UMC Spiritual Care Partners fill out the form below and then click “Submit.” You will be contacted with more information by a member of our team when your information is processed. Thank you for choosing to be a part of UMC Spiritual Care Partners.
Personal
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Name:
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Date Of Birth:
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Address:
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City, State:
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Zip Code:
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Home Phone:
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Mobile Phone:
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Email Address:
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Faith/Church Affiliation:
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Church Address:
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Church City, State:
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Church Zip Code:
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Office Phone:
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Education
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Undergraduate/College School Name:
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Degree/Year Completed:
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Theological Education Seminary Name:
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Degree/Year Completed:
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Continuing Education in Spritual Care Related Field:
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Have you participated in any Clinical Pastoral Education (CPE) Training?
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Military Affiliation or Denomination:
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Ordination Date(If Applicable):
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Suggested topics for future Ground Rounds Sessions
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