CW Request for Permission to Administer the Sacraments

Please forward this application to: Chinook Winds Regional Council PO Box 98 Okotoks AB TIS 1A4

Request for Permission to Administer the Sacraments

Section 1 - To be completed by the Local Governing Body of the Pastoral Charge

Name of Pastoral Charge

Name of Applicant

Name of Pastoral Charge Supervisor

Candidate for Ordered Ministry

Candidate for Designated Lay Ministry

Applicant for Sacraments Elder (Lay person)

Period of time for which this application is made:

Duration of Appointment (Candidates)

12 months (Sacraments Elder)

beginning date

Date

ending dates

Date

YesNo

Has this individual had permission previously?

Completion of Educational Requirement (Complete either Part A or Part B): Part A: Candidates for Ordered Ministry and Designated Lay Ministry

Course in Worship and Sacraments from a United Church Theological School/Program Semester Completed

Course in Worship and Sacraments from a United Church Theological

School/Program Semester Completed:

Please attach a letter of confirmation from the Theological School/Program

The Local Governing Body is aware that Candidates are only licensed to preside at sacraments in the pastoral charge where they have been appointed by the Regional Council

The Local Governing Body is aware that Candidates are only licensed to

preside at sacraments in the pastoral charge where they have been

appointed by the Regional Council

Part B: Application for Sacrament Elder

Sacrament Elder Course of Study

Date of Completion

Date

Name of Regional Council Sacraments Elder mentor

For first time applications, please attach a brief report from the mentor as submitted to Regional Council

For first time applications, please attach a brief report from the

mentor as submitted to Regional Council

The Local Governing Body of the Pastoral Charge confirms the applicant is both a full member of The United Church of Canada and a member of the Local Governing Body of the Pastoral Charge.

The Local Governing Body of the Pastoral Charge confirms the

applicant is both a full member of The United Church of Canada and

a member of the Local Governing Body of the Pastoral Charge.

The Local Governing Body is aware that the Sacraments Elder is only licensed to preside at Sacraments in the Pastoral Charge where they are a member. The role is voluntary; in other words, there is no compensation for service.

The Local Governing Body is aware that the Sacraments Elder is only

licensed to preside at Sacraments in the Pastoral Charge where they

are a member. The role is voluntary; in other words, there is no

Rationale for this request

How does the Local Governing Body carry out responsibility for oversight of

the Administration of the Sacraments?

How does the Local Governing Body carry out responsibility for oversight of the Administration of the Sacraments?

A motion to frward this request to the Regional Council was approved by the Local Governing Body of the Pastoral Charge as its meeting on:

Date of meeting

Date

Signing Officer of the Local Governing Body

Date Signed

Individual for whom permission is being requested

Date Signed

Pastoral Charge Supervisor

Date Signed