Licensed Lay Worship Leaders Application for Relicensing

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Primary Phone*

Secondary Phone

Home Community of Faith*

Home Community of Faith Address*

Street Address City State / Province / Region ZIP / Postal Code

Date LLWL training was completed*

Former Presbytery / Region of initial licensing:*

Confirmation of Completion of mandatory Boundaries training (or confirmation of being on a waiting list)*

Please enter if this is the date completed or date of joining waiting list. Enter date in MM/DD/YY format. (ie "Completed 12/15/97" or "Joined 12/15/97"). As of October 2017 LLWLs are expected to have completed the Boundaries Workshop.

Confirmation of Racial Justice training.*

Please enter if this is the date completed or date of joining waiting list. Enter date in MM/DD/YY format. (ie "Completed 12/15/97" or "Joined 12/15/97"). As of July 2019 LLWLs are expected to have completed the Racial Justice Workshop.

Proof of Police Records Checks, including vulnerable sector, within the last five years.

If you are unable to upload a file please mail to Bermuda-Nova Scotia Regional Council LLWL, 21 Wright Street, Sackville, NB E4L 4P8.

Max. file size: 64 MB.

Brief faith statement: How has your experience as a LLWL nurtured your faith? What faith formation plans do you have for the next year?*

Consent*

I am aware of and have considered the LLWL handbook, 2019, and agree to the process outlined therein including outline of eligible services and limitations to these services, training requirements including the need to have taken the Boundaries Training of The United Church of Canada: *

Date*

Reference letter from two people who have experienced the applicant in worship leadership.

Drop files here or

Max. file size: 64 MB.

If you are unable to upload a file please mail to Bermuda-Nova Scotia Regional Council LLWL, 21 Wright Street, Sackville, NB E4L 4P8.

Action of the Community of Faith

Please upload a document that the Community of Faith supports your application to be re-licensed as a lay worship leader within Bermuda-Nova Scotia Regional Council; signature of representative of Faith Community; and signature of ministry personnel of faith community or pastoral charge supervisor. If you are unable to upload a file please mail to Bermuda-Nova Scotia Regional Council LLWL, 21 Wright Street, Sackville, NB E4L 4P8.

Licensed Lay Worship Leaders Application for Relicensing

Office Use:

Action of Bermuda-Nova Scotia Regional Council Licensing Committee:

We Approve: Yes / No

Date: ______________

Signature: _________________________

United Church of Canada News

Licensed Lay Worship Leaders Application for Relicensing

Office Use:

Action of Bermuda-Nova Scotia Regional Council Licensing Committee:

We Approve: Yes / No

Date: ______________

Signature: _________________________

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