Lifelong Learning Reporting – Northern California Nevada Conference

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Personal Information
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Name*
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Email*
Report of Lifelong Learning
Authorized Ministers holding Standing in NCNC-UCC are required to complete a minimum of 15 hours of Lifelong Learning each year. In addition, there are triennial (every three year) requirements regarding professional boundaries training, mandated reporter training, and racial justice training. Review the Lifelong Learning Policy at https://ncncucc.org/supporting-leaders/leadership-events-lifelong-learning/.
What kind of Lifelong Learning are you reporting?*
Check any/all that apply
- Boundary Training
- Mandated Reporter Training
- Racial Justice/Anti-Racism Training
- Continuing Education Hours

Reporting Lifelong Learning Experiences
Here you will report each specific Lifelong Learning experience, as well as providing required documentation of those experiences which are expected by the Lifelong Learning Policy.
Date of all-day Boundary Training*
MM slash DD slash YYYY
Certificate of Completion for all-day Boundary Training*
Max. file size: 64 MB.
Date of Boundary Training module*
MM slash DD slash YYYY
Type of Boundary Training module*
Certificate of Completion for Boundary Training module*
Max. file size: 64 MB.
Date of second Boundary Training module*
MM slash DD slash YYYY
Type of second Boundary Training module*
Certificate of Completion for second Boundary Training module*
Max. file size: 64 MB.
Date of third Boundary Training module*
MM slash DD slash YYYY
Type of third Boundary Training module*
Certificate of Completion for third Boundary Training module*
Max. file size: 64 MB.
Date of fourth Boundary Training module*
MM slash DD slash YYYY
Type of fourth Boundary Training module*
Certificate of Completion for fourth Boundary Training module*
Max. file size: 64 MB.
Did you complete both the Initial and Clergy Mandated Reporter trainings on the same date?*
- Yes
- No
Mandated Reporter training date*
MM slash DD slash YYYY
Second Mandated Reporter training date*
MM slash DD slash YYYY
Date of Mandated Reporter renewal training*
MM slash DD slash YYYY
Certificate(s) of Completion for Mandated Reporter Training*
Drop files here or

Max. file size: 64 MB.
Date of Racial Justice/Anti-Racism Training*
MM slash DD slash YYYY
Certificate of Completion for Racial Justice/Anti-Racism Training*
Max. file size: 64 MB.
How many total hours of Racial Justice/Anti-Racism education are you reporting?*
This includes the one hour per year minimum requirement AND the six hour triennial training requirement.
Describe your Racial Justice/Anti-Racism education hours. As appropriate, include date, provider, name of training, and number of hours. If self-directed, explain how the experience contributes to your ongoing formation as an Authorized Minister.*
Certificates or other documents for Racial Justice/Anti-Racism education, if applicable
Drop files here or

Max. file size: 64 MB.
How many total hours of Continuing Education are you reporting?*
Describe your Continuing Education hours. As appropriate, include date, provider, name of training, and number of hours. If self-directed, explain how the experience contributes to your ongoing formation as an Authorized Minister.*
Certificates or other documents for Continuing Education hours, if applicable
Drop files here or

Max. file size: 64 MB.
I'd like to be considered as a Minister in Discernment Advisor.*
- Yes
- No
Attestation of Hours
I affirm that the foregoing is a true and accurate summary of my Lifelong Learning activities. I understand that it is my sole responsibility to maintain compliance with the Lifelong Learning Policy in order to maintain my Ministerial Standing, and that any courtesy efforts of Conference staff or the Committee on Ministry are supplemental to my primary responsibility. My failure to provide necessary documentation to satisfy the Committee of my compliance with standards of ongoing authorization in this denomination may result in the suspension or termination of Ministerial Standing. If I am unclear or have any questions regarding my Lifelong Learning Policy compliance, I understand that a request of my record may be submitted to the Conference House at any time.
Signature

Step 1 of 3

Personal Information

Report of Lifelong Learning

Report of Lifelong Learning

Reporting Lifelong Learning Experiences

Attestation of Hours