Eucharistic Minister Application

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Is this application for a new license or renew a current license?*
Name*
ex: St. Martin's, Anytown
Date completed EM training:*
Do you have the permission of your Clergy or Warden in Charge and Vestry or Bishop's Committee to be licensed?*
Signature*
I certify that I have completed the preparation and/or continuing education necessary to carry out this licensed ministry.
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