Pulpit Supply Application

Title*

Name*

First NameLast Name

Brief Description of Employment History*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Preferred Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Member of Hudson River Presbytery? *

Member of the Presbyterian Church (U.S.A.)?

Provide Presbytery of Membership

Provide Name of Presbytery Leader for Reference Check

First NameLast Name

Email of Presbytery Leader

example@example.com

Phone Number of Presbytery Leader

Please enter a valid phone number.

If you are an ordained minister of another denomination, please indicate which denomination you are ordained in, which judicatory you are a member of, and provice contact informaiton for a person who can verify your good standing in that judicatory.

Denomination

Judicatory

Name of Contact

First NameLast Name

Email of Contact

example@example.com

Phone Number of Contact

Please enter a valid phone number.

How many times did you preach last year?

Ruling Elders may administer sacraments only with specific permission to do so for that place and date from the Commission on Ministry.

The information you provided will be included on the pulpit supply list posted on the website of Hudson River Presbytery. If you choose to have personal contact information excluded, please contact JoAnna Tivnan (joanna@hudrivpres.org).

NOTE: After submitting this form, you will be redirected and prompted to complete a background check. (You are responsible for paying for your own background check.)

Comments

Today's Date*

Date

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