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Non-Parochial Clergy Report and Licensed Clergy Renewal Form

"*" indicates required fields

Section 1: General Information

Name*
Are you a bishop, priest or deacon?*
Address*
Is any of the information listed above new?*

Section 2: Exercise of Ordained Ministry

Were you serving as a chaplain in 2024?*
Were you secularly employed in 2024?*
NOTE: In the MINISTRY SPECIFICS (Section 5), please list all Ecclesiastical Acts performed other than in the congregation to which you were assigned. (EX: Supply work at St. June's, Anytown, MO / Part-time work at St. Bob's, There, MO). With that in mind, please answer: In 2024,

Section 3: Summary of Ordained Ministry

Please enter only those acts which were not listed above.

Section 4: Ministry Specifics

Section 5: Non-Canonically Resident Clergy ONLY

As a non-canonically resident clergy person, I wish to be relicensed to officiate in the Diocese of West Missouri for the year 2025 (NOTE: failure to complete this request will result in license expiration).
This field is for validation purposes and should be left unchanged.