Transfer of Standing Request – Northern California Nevada Conference

Step 1 of 5

Personal Information
Please complete this basic information to create/update your person record in the NCNC-UCC.
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Website
Have you previously held Standing in NCNC-UCC?*
- Yes
- No
What is the approximate date when you transferred out of NCNC-UCC previously?
If specific day is unknown, give last day of month and year
MM slash DD slash YYYY

Local Church of Membership
Please include details of your Local Church of Membership. Pay close attention to your pastor's/membership secretary's email address, as the system will automatically send an email to them in order to validate your membership. Your Transfer of Standing meeting will not be scheduled until your pastor/membership secretary responds to the validation request.
In which NCNC-UCC congregation are you a member?*
You must be a member of an NCNC-UCC congregation prior to beginning the Transfer of Standing process.
Name of Pastor or Membership Secretary*
If you yourself are the pastor, please list the membership secretary or other appropriate lay leader who can validate your membership in the local church
First Last
Pastor's/Membership Secretary's Email*
Enter Email Confirm Email
Date of Membership Transfer
MM slash DD slash YYYY

Evidence of Ecclesiastical Authorization
Please indicate details of your current Authorization in the United Church of Christ. Pay close attention to the email address for the contact in your current Association/Conference, as the system will automatically send an email to them to validate your current Standing. Your Transfer of Standing meeting will not be scheduled until your current Association/Conference validates your current good Standing.
From which Conference are you transferring?*
Which Association currently holds your Standing?*
If Standing is held in Conference, enter Conference name
Name of Validator*
This may be either a Conference staff person or the chairperson of the Committee on Ministry that currently holds your Standing.
First Last
Validator's Email*
Enter Email Confirm Email
Consent to Release Information*
I do hereby grant permission to the Association of Conference where my ministerial standing is currently held to send a copy of my Ministerial File, which it has kept and in which it has recorded the continuation of my standing and oversight, to the Northern California Nevada Conference (acting as an Association) in order to facilitate my request for a transfer of my ministerial standing.

I understand that my Ministerial File is the property of the United Church of Christ; that my current Association may release the Ministerial File to a receiving Association within the appropriate bounds of standing and oversight; and that Association, Conference and other persons may comment on my background and character to the receiving Association, Conference, and other persons. I hereby release such persons from all liability arising from their responses and comments made in good faith and without malice. I further understand that completion of this form is required for my transfer of ministerial standing request to be initiated and completed.
I consent to the release of my Ministerial File

Compliance with Lifelong Learning Policy
Authorized Ministers in NCNC-UCC must be in compliance with the stated Lifelong Learning Policy as a condition of continued good Standing.
Have you completed the online Mandated Reporter Training module for clergy?*
- Yes
- No
Mandated Reporter Training module completion date
MM slash DD slash YYYY
Mandated Reporter Training module certificate(s)
On first instance, both general and profession-specific modules are required. You may upload a maximum of two certificates in PDF form.
Drop files here or

Accepted file types: pdf, Max. file size: 5 MB, Max. files: 2.
Have you completed a Boundary Training in the past three years?*
- Yes
- No
Boundary Training completion date
MM slash DD slash YYYY
Name of Boundary Training provider/organizer
Boundary Training completion certificate
Max. file size: 10 MB.

Step 1 of 5

Personal Information

Local Church of Membership

Evidence of Ecclesiastical Authorization

Compliance with Lifelong Learning Policy

Background Disclosure & Vocational Plans