"*" indicates required fields URLThis field is for validation purposes and should be left unchanged.Is this application for a new license or renew a current license?* New license application Renewal license application Name* First Last Email* Home Church/City*ex: St. Martin's, AnytownDo you have the recommendation of your Clergy or Warden in Charge?* Yes No Do you have the recommendation of a Deacon under whom you will function?*(if available) Yes No If so, please enter the name and email address of said DeaconDo you have the recommendation of your Vestry or Bishop's Committee?* Yes No List the date of your last Diversity & Reconciliation Training courseIf none, please be aware that Diversity & Reconciliation training is required within the next 18 months. Watch the events section of our website for upcoming Diversity & Reconciliation Training courses. MM slash DD slash YYYY List the date of your last diocesan criminal background check (REQUIRED)*This date is required. If none, please stop your application and visit https://diowestmo.org/admin/background-information-release-form/ to submit your "Criminal and Social Security Trace (Verified Plus)" application. MM slash DD slash YYYY List the date you completed the Safe Church, Safe Community training coursework (REQUIRED)*This date is required. If none, please stop your application and contact Elaine Gilligan (hr-finasst@diowestmo.org) to request access to the Safe Church, Safe Community online coursework. MM slash DD slash YYYY Signature*I pledge to carry out this ministry to the glory of God under the authority of the Bishop of West Missouri, and with the integrity befitting this sacred trust.CAPTCHA
