Find A Church
Calendar
Have You Heard
Donate

Our Conference
For Churches
For Ministers
Annual Gathering 2023

Our Conference
For Churches
For Ministers
Annual Gathering 2023

Lay Ministerial Standing Application

Home
Portals
MID Dashboard
Lay Ministerial Standing Application

Step 1 of 7

14%

Section 1: Candidate Details
Include your personal details in this section. This will create, or update, your official UCC person record.
Name*
Please enter your legal name as it displays on official documents. If your name has changed, please enter your name as it is today.
First Middle Last
Preferred Name
For example, if you use your middle name in lieu of your first name, or a different version of your first name, or a different name altogether. If not, leave blank.
Is this a different name than you've used in a prior application?*
- Yes
- No
Previous Name*
First Middle Last
Email*
Are you currently a Member in Discernment in NCNC-UCC?*
- Yes
- No
Do you have any updates you need to make to your contact or demographic details?*
- Yes
- No
Home Address*
Street Address Address Line 2 City State ZIP Code
Primary Phone*
Primary Phone is:*
- Cell/Mobile
- Home (Landline)
- Work
Alternate Phone (Optional)
Leave BLANK if none
Alternate Phone is:
- Home (Landline)
- Work
- Cell/Mobile
Gender Identity*
Racial Identity*
Check all that apply
- African American/Black
- Asian
- Latinx
- Native American/Indigenous
- Pacific Islander
- White
- Decline to Disclose

Section 2: Local Church Attestation
Include information regarding your Local Church of membership in NCNC-UCC. Direct verification of membership by the Moderator/President of your Local Church and affirmation of your application by your Pastor will be requested. Make sure you have the email addresses for both the Moderator/President and your Pastor correct on this form, as they will receive an email invitation from us to provide their documentation.
Local Church of Membership*
Pastor's Name*
First Last
Pastor's Email Address*
I have notified my Pastor that they will receive an automatic link in their email?*
- Yes
Moderator/President's Name*
First Last
Moderator/President's Email*
I have notified my Moderator/President that they will receive an automatic link in their email?*
- Yes

Section 3: Request of Calling Ministry Setting
Lay Ministerial Standing is extended to Members in Discernment who require supervised Ministerial Authorization in a specific Ministry Setting. This section captures the Ministry Setting calling you to serve in such a supervised capacity.
Name of Calling Ministry Setting Representative*
First Last
Email Address of Calling Ministry Setting Representative*
I have notified the Calling Ministry Setting Representative that they will receive an automatic link in their email?*
- Yes

Section 4: Understanding of Lay Ministerial Standing
In this section you will demonstrate to COM-A your understanding of Lay Ministerial Standing. You will also provide the names and email addresses of three references, who have not been captured elsewhere on this application, who can provide letters of support for your application.
Upload a paper describing your understanding of Lay Ministerial Standing*
Accepted file types: pdf, Max. file size: 10 MB.
Must be PDF format. Maximum size 10 MB.
Reference 1 (UCC Authorized Minister) Name*
First Last
Reference 1 (UCC Authorized Minister) Email*
I have notified Reference 1 (UCC Authorized Minister) that they will receive an automatic link in their email?*
- Yes
Reference 2 Name*
First Last
Reference 2 Email*
I have notified Reference 2 that they will receive an automatic link in their email?*
- Yes
Reference 2 is:*
- Professor/instructor
- Field education/internship supervisor
- CPE supervisor
- Other individual in a supervisory capacity
- Other UCC Authorized Minister
- Other Denomination Authorized Minister
Reference 3 Name*
First Last
Reference 3 Email
I have notified Reference 3 that they will receive an automatic link in their email?*
- Yes
Reference 3 is:*
- Professor/instructor
- Field education/internship supervisor
- CPE supervisor
- Other individual in a supervisory capacity
- Other UCC Authorized Minister
- Other Denomination Authorized Minister

Section 5: Professional Preparation
In this section you will explore your professional preparation for Lay Ministerial Standing. Even if you have already submitted names of settings, supervisors, etc as part of an earlier application (like for MID Renewal), please complete all fields marked with an asterisk as being required. If a field is not marked required, and you have already submitted those materials, only then do you not need to re-submit. Thank you.
Briefly describe your formal education. Include name(s) of undergraduate and graduate institutions, degree(s) conferred, and fields of studies (majors/minors)*
Are you currently enrolled in a Master of Divinity program, or its equivalent?*
Formal education: transcripts, records, etc
Drop files here or

Max. file size: 128 MB.
You do not need to re-submit any materials you have already submitted in your NCNC-UCC MID process (application, renewal). Unofficial transcripts from current institutions are fine.
Current resume/CV*
Accepted file types: pdf, Max. file size: 10 MB.
PDF format only. Maximum 10 MB.
Please check all additional professional formation that you have completed
DO NOT check boxes for professional formation that is in progress but has not yet been completed. Note: "Compensated Employment for Ministry Work" is formal, defined ministry work that is generally compensated. You must be able to substantiate such work with formal supervision from a governing body or direct supervisor accountable to a governing body. Bridge periods in between pastorates, pulpit supply, sabbatical replacement, or volunteer Diaconate work does not meet this definition.
- Clinical Pastoral Education (CPE)
- Supervised Field Education
- Compensated Employment for Ministry Work
- Mandated Reporter Training
- Boundaries/Professional Ethics Training
- Racial Justice Training
CPE Experience
Name of CPE Facility*
Have you already submitted your CPE evaluation for an earlier MID Renewal Interview?*
- Yes
- No
Name of CPE Supervisor*
First Last
Upload CPE evaluation*
Max. file size: 128 MB.
Field Education/Internship Experience
Name of Field Education/Internship Site*
Have you already submitted your field education evaluation for an earlier MID Renewal Interview?*
- Yes
- No
Name of Field Education/Internship Supervisor*
First Last
Upload Field Education/Internship evaluation*
Max. file size: 128 MB.
Compensated Employment for Ministry Work
Compensated Employment for Ministry Work is formal, defined ministry work that is generally compensated. You must be able to substantiate such work with formal supervision from a governing body or direct supervisor accountable to a governing body. Bridge periods in between pastorates, pulpit supply, sabbatical replacement, or volunteer Diaconate work does not meet this definition. Note: this is only for ministry experience that DOES NOT FULFILL any academic requirements (field education/internship) or for which any academic credit is received. If your experience does not meet this definition, please scroll up and uncheck the box earlier on this page.
Name of ministry setting*
Name of ministry setting supervisor*
First Last
Is this ministry setting supervisor one of your references?*
- Yes
- No
Mandated Reporter Training
Did you complete:*
- Initial mandated reporter training module only
- Both initial and clergy-specific mandated reporter training modules
Date of mandated reporter training*
Month
Day
Year
Did you complete both modules at the same time?*
- Yes
- No
Date of second mandated reporter training*
Month
Day
Year
Mandated reporter training certificate of completion*
If two trainings, upload both certificates
Drop files here or

Max. file size: 128 MB.
Racial Justice Training
Date of racial justice training*
Month
Day
Year
Racial justice training provider*
Proof of racial justice training*
Max. file size: 128 MB.
Ethics & Clergy Boundary Training
Name of boundary training provider*
Date of boundary training*
Month
Day
Year
Proof of boundary training*
Max. file size: 128 MB.

Section 6: Personal Disclosures
Information obtained in this section will be used to verify your background and confirm your eligibility to be received as an Authorized Minister with this Conference.
In the past year:*
- I have not been the subject of any official review of my conduct as a student in an educational program
- I have not been the subject of any official disciplinary proceedings that resulted in disciplinary action by any professional organization, credentialing body, or guild
- I have not had my driving license suspended or revoked
- I have not been found guilty or pleaded guilty or no contest to any criminal charges (excluding acts of civil disobedience)
- My employment has not been terminated because I attempted or actually engaged in sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct
- I have not terminated my employment or professional credentials in order to avoid facing or to avoid being terminated because of charges of actual or attempted sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct
- No civil lawsuit alleging that I attempted or actually engaged in sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct has been filed against me
- No material change has occurred that would warrant reviewing my criminal records again
- There are no additional facts or circumstances involving me or my background that would warrant further review before my being entrusted with the responsibilities of ministry on behalf of a calling body of the United Church of Christ
Commentary on any above item if all boxes are not checked

Section 7: Application for Member in Discernment
Because you indicated that you are not currently a Member in Discernment in NCNC-UCC, you must also submit the Member in Discernment application. Even if you have already submitted information on this application form, you must submit all requested information on the Member in Discernment application. Once you submit this form, you will be automatically taken to the MID Application form.
Section 7: Application for Member in Discernment
In order to hold Lay Ministerial Standing, an individual must concurrently be a Member in Discernment and remain in good status for the duration of the period they hold Lay Ministerial Standing. Because you indicated that you are already a MID in NCNC-UCC, you have fulfilled this requirement.
Section 8: Payment & Signature
We will collect payment for any voluntary contribution to the Conference's ministry of oversight and support. We will capture your signature, which will complete your renewal application.
Would you like to become a Friend of the Conference?*
Our Conference invests at least $3,500 in each Member in Discernment as part of its ministry of oversight and support, and at least $1,000 annually in the professional oversight of ministers. Would you like to make a voluntary contribution of any amount and become a Friend of the Conference?
- Yes
- Not at this time
Friend of the Conference Voluntary Contribution Amount*
Thank you!
Total to be Collected Today
$0.00
Signature*
Your signature attests everything within this application is true and correct to the best of your knowledge, that you are requesting an appointment with the Committee on Ministry, Section A to be considered for Lay Ministerial Standing in this Conference acting on behalf of the United Church of Christ
Credit Card*
Billing Address*
Street Address Address Line 2 City State ZIP Code

Δ

NCNC-UCC Applications

Microsoft 365
Canvas
Docket
WordPress
UCC Profiles Portal

This website provided by church contributions to Our Church's Wider Mission and individual support of Friends of the Conference

©2022. Northern California Nevada Conference of the United Church of Christ. All Rights Reserved.

The United Church of Christ acknowledges that its buildings and ministries in all of its settings are on traditional territories of Native, First Nations, American Indian, and Indigenous Peoples.