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.
Date Of Birth:
City, State:
Zip Code:
Home Phone:
Mobile Phone:
Email Address:
Faith/Church Affiliation:
Church Address:
Church City, State:
Church Zip Code:
Office Phone:
Undergraduate/College School Name:
Degree/Year Completed:
Theological Education Seminary Name:
Degree/Year Completed:
Continuing Education in Spritual Care Related Field:
Have you participated in any Clinical Pastoral Education (CPE) Training?
Military Affiliation or Denomination:
Ordination Date(If Applicable):
Suggested topics for future Ground Rounds Sessions