2018 Licensing School - Registration Form

Address *

Cell Phone *

- Area Code Phone Number
Birth Date *

- Month - Day Year
Demographic Information

This information will only be used in accordance with Title VI of the Civil Rights Act of 1964.
Gender *

Female Male
Racial / Ethnic Background *
Educational Background

Please list: Years Attended & Degree Earned for each Educational Institution
Educational Institutions *
Are you part of Candler's Teaching Parish program? *

Yes No
Are you transferring to the UMC from another denomination? *

Yes No
Please list the denomination from which you are transferring:

Conference Status
Date you became a Certified Candidate? *
Clergy Status (choose the status you will be on July 1) *

Full-Time Local Pastor Part-Time Local Pastor Other
Annual Conference *
District *
District Superintendent's Name *

First Name Last Name
District Superintendent's Email Address *
Current or Upcoming Appointment (write in the name of the church)
Location of your Current or Upcoming Appointment
Size of your Current or Upcoming Appointment (make your best guess!)

Ways You Can Participate & Help
I would like to help with our daily worship in the following ways (choose as many as you would like!):

I would like to be a scripture reader. I would like to offer a prayer (or read a prepared prayer). I enjoy leading the congregation in singing. I am a musician and enjoy playing in worship.
Are you an early bird? We could use help with coffee & food logistics in the mornings. If you are a hospitable extrovert, this is the job for you! (no cooking required. Just making coffee and showing caterers where to set up)

Yes, I would love to help with breakfast in the morning!
Some of our students have physical limitations and could use an extra set of hands to unload their belongings on check-in day and load them back on check-out day.

I would be happy to show up early on check-in day and lend a hand. I would be happy to stay a little late on check-out day and lend a hand.
Student Signature
By typing your name and the date below, you are agreeing to the following statements:

1 - I understand that I must read all of the required books and complete all of the required assignments before attending Licensing School. The list of required books and assignments will be emailed to you upon approval of your registration form.

2 - I will only turn in original work. I understand that plagiarism is a serious offense.

3 - I understand that my district and conference representatives may read everything I turn in.
Your Name: *
Date *
Should be Empty:

REGISTRATION FORM