Worship Leader License Request Form
The Worship Leader License Request Form should be completed by the clergy responsible for the parish. In parishes without settled clergy, the District Dean may complete this form.
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Email *
Name of the layperson to be licensed as a Worship Leader: *
Clergy Name *
I am the clergyperson responsible for licensed ministries at *
You may select multiple parishes if this Worship Leader will serve multiple parishes.
Required
I certify that the layperson named above is a communicant in good standing. *
Required
I certify that the layperson named above has completed Safe Church Training within the last five years. *
Required
Date of most recent Safe Church Training *
This information is listed on the Safe Church Training certificate.
MM
/
DD
/
YYYY
Most recent Safe Church Training was *
If most recent Safe Church training was in-person, please provide the location:
This information is listed on the Safe Church Training certificate.
This individual will be a: *
I certify that the layperson named above has completed appropriate Worship Leader Training. *
Required
Training received: *
Please check all that apply.
Required
Date and Location of diocesan Worship Leader Training, if applicable:
Comments (optional)
A copy of your responses will be emailed to the address you provided.
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This form was created inside of The Episcopal Diocese of Central New York. Report Abuse