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After submitting this form, please mail or email a picture of yourself and
a 1-2 page statement about your history and ministerial aspirations to:

UUA
Ministerial Credentialing Office
25 Beacon St
Boston MA 02108
mco@uua.org

Be sure to include your name, address, and phone number in that
correspondence so we can match it with this submission.

Required responses are shown with an asterisk (*).

*

Your Name

Your Name * First Name
Middle Name
* Last Name

*

Contact Information

Contact Information Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

*

Additional Information

Additional Information Phone (Alternate)
Fax
* Date of Birth
* Place of Birth
Gender (optional) The MFC encourages aspirants and candidates to describe their gender using whichever nouns and pronouns feel most appropriate.
* Marital status
* Number of dependents
Ages
Cultural, racial, or ethnic background (optional)

If you self-identify as a person of color, Hispanic Latino/a, Asian Pacific-Islander, or are from another historically marginalized community, we would like to forward your contact information to Diverse & Revolutionary Unitarian Universalist Multicultural Ministries, http://www.drumm.org)

If you self-identify as a person of color, Hispanic Latino/a, Asian Pacific-Islander, or are from another historically marginalized community, we would like to forward your contact information to Diverse & Revolutionary Unitarian Universalist Multicultural Ministries, http://www.drumm.org) Check this box if you do NOT want your contact information forwarded.

UU Affiliation

UU Affiliation How long have you been a Unitarian universalist?
List prior UU Congregational Membership, if any
Current UU Congregational Membership
Date of membership
UUA District
Previous Religious Affiliation, if any

Undergraduate Education (School, Years Attended, Degree)

Undergraduate Education (School, Years Attended, Degree) Most Recent
Previous
Next Previous

Graduate Education (School, Years Attended, Degree)

Graduate Education (School, Years Attended, Degree) Most Recent
Previous
Next Previous

Theological Education

	School	Type	Entered	Degree	Graduated
Most Recent	Theological Education Most Recent School	Type	Entered	Degree	Graduated
Previous	Previous School	Type	Entered	Degree	Graduated
Next Previous	Next Previous School	Type	Entered	Degree	Graduated

Specify "other" schools or degrees from above.

Recent Employment (Employer, Position, Dates)

Recent Employment (Employer, Position, Dates) Most Recent
Previous
Next Previous
Next Previous

For Clergy Seeking Transfer or Plural Standing

For Clergy Seeking Transfer or Plural Standing Ordaining body
Date of ordination
Severance of connection
Current place of ministry, if any

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Signature and Date

Signature and Date Enter your initals in lieu of your signature
Today's date

Ministerial Credentialing Office - Initial inquiry Form

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