Forms
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United Church application: Widening the Welcome (32.73 KB) Application to participate in Widening the Welcome conference.
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Vision Fund: Authorization Form (30.77 KB) Pastoral charge approval to apply to the United Church Vision Fund.
Capital Assistance
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CA 2A: Application for Capital Loan for Pastoral Charge or Congregation (36.25 KB) CA 2A: Application for Capital Loan for Pastoral Charge or Congregation
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CA 3A: Application for Congregational Development Fund Loan (30.25 KB) CA 3A: Application for Congregational Development Fund Loan
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CA 4A: Application for Modernization and Improvement Grant (25.65 KB) CA 4A: Application for Modernization and Improvement Grant
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CA 5.1A: Application for Technology Support Grant (25.28 KB) CA 5.1A: Application for Technology Support Grant
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CA 6A/7A: Capital Assistance for Education Centres, Camps, and Retreat Centres (29.54 KB) CA6A/7A: Application for Loan and/or Grant for Camps and Education/Retreat Centres
Entering Ministry: Admission from Another Denomination
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ADM 303: Confirmation by Conference Regarding Suitability of Applicant for Admission(50.24 KB) Form to be used by Conference following the initial interview of an Applicant for Admission.
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ADM 304: Confirmation of Completion of Educational Requirement (44.03 KB) Form to be used by instructor to report completion of course work.
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ADM 305: Application for Final Conference Interview (48.54 KB) Form to be completed by applicant for admission to request final conference interview.
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ADM 306: Intent to Recommend Admission (49.71 KB) To be used by Conference following final interview of Applicant for Admission
Entering Ministry: Designated Lay Ministry
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DLM 500: Presbytery/District Record Card for Designated Lay Ministers (42.73 KB) Form DLM 500, a record card to be completed regarding designated lay ministers of The United Church of Canada.
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DLM 502(b): Application for Appointment as a Designated Lay Minister (29.77 KB) Form DLM 502(b): Application for Appointment as a Designated Lay Minister
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DLM 503(b): Approval of Appointment for Applicants for DLM (31.74 KB) This form must accompany and becomes part of form PR 433 AP (Record of Appointment).
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DLM 503: Actions by Session and Presbytery/District Regarding Applicants for Designated Lay Ministry (44.22 KB) To be used by a Session to make a recommendation to the presbytery/district for action on the report of a discernment committee (DIS 202(a)) and an application for appointment as a designated lay minister (DLM 502(b)).
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DLM 504: Initial Certification DLM Education Program (27.58 KB) To be used by a presbytery/district to certify an individual to a centre for the Designated Lay Ministry Diploma program.
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DLM 505: Applicant Self-Assessment Form (24.1 KB) To be completed by an individual in preparation for his/her annual interview and sent to the Presbytery/District E&S Committee before the interview.
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DLM 506: Annual Confirmation of DLM Status (27.59 KB) To be completed annually by the Presbytery/District E&S Committee following the annual interview.
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DLM 507: Application for Supervised Ministry Education for Designated Lay Ministers (43.2 KB) To be used by a designated lay minister who has been approved by presbytery as ready for appointment to fulfill the Supervised Ministry Education (SME) requirements.
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DLM 508: Designated Lay Minister Evaluation Report (30.99 KB) Evaluation report
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DLM 509: Application to Be Recognized as a Designated Lay Minister (35.02 KB) Become recognized as a Designated Lay Minister.
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DLM 517: Annual Education Centre Report to Presbytery/District Education and Students Committee Regarding Designated Lay Ministers (27.18 KB) Annual Education Centre Report to Presbytery/District Education and Students Committee Regarding Designated Lay Ministers
Interim Ministry
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INT 100: Application for Designation as an Interim Minister (31.81 KB) Form to be used to apply for designation as an interim minister n The United Church of Canada.
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INT 101: Application for Continuing Designation as an Interim Minister (30.69 KB) Form to be used to apply for continuing designation as an interim minister in The United Church of Canada.
Pastoral Relations
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2013 Manual References (88.54 KB) A chart updating Manual references in the 400 series pastoral relations forms.
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PR 401 IS: Ministry Personnel Information Sheet (36.07 KB) This form must be completed with every change in pastoral relations.
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PR 402 IS: Ministry Personnel Information Sheet (53.9 KB) This form must be completed with every change in pastoral relations.
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PR 403 JN: Record of Joint Needs Assessment Report (30.72 KB) This form must be used by a JNAC to summarize its report and recommendations.
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PR 404: Ministry Personnel Personal Information Form (102.09 KB) To be completed by all ministry personnel currently serving in a pastoral relationship, presbytery-accountable ministry, or presbytery-recognized ministry.
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PR 405: Ministry Personnel Change of Personal Information Form (57.01 KB) To be completed each time there is a change in any of the data originally submitted by the ministry personnel in form PR 404.
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PR 424 EA: Record of Ministry Personnel Eligible for Availability List (55.88 KB) This form must be used to record and monitor availability of members of the Order of Ministry and recognized Designated Lay Ministers.
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PR 425 V: Record of Pastoral Charge Vacancy (50.32 KB) This form must be used to record and monitor pastoral charge vacancies.
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PR 426 AS: Application for Settlement: Order of Ministry (55.24 KB) Members of the Order of Ministry must use this form to request settlement.
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PR 427 PAM: Application for Settlement: Prebytery Accountable Ministry (72.19 KB) Pastoral charges or other presbytery accountable ministries must use this form to request settlement.
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PR 428 PRM: Application for Settlement: Presbytery Recognized Ministry (57.23 KB) Presbytery recognized ministries must use this form to request settlement.
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PR 433 AP: Record of Appointment (52.07 KB) PR 433 is only for congregations that are renewing appointments with a salary and housing allowance. Has your congregation already moved to the comprehensive salary? Please use PR 450.
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PR 436 MI: Manse Information Summary Sheet (61.39 KB) Must be attached to PR 425 V and to PR 433 AP, PR 434 RS, or PR 435 RC if there is a manse.
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PR 441 PS: Report of the Pastoral Charge Supervisor (31.46 KB) This form must be completed at the end of pastoral charge supervision.
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PR 442 RR: Retained on the Roll (58.31 KB) To be completed when a member of the Order of Ministry is retained on the roll.
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PR 443: Application to Receive Pension Benefit Payments (50.95 KB) To be completed when an ordained, diaconal, or designated lay minister wishes their pension payments to begin.
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PR 445 DSL: Discontinued Service List (Disciplinary): Order of Ministry (58.39 KB) This form must be used by a presbytery/district when requesting that the name of a member of the Order of Ministry be added to the Discontinued Service List (Disciplinary).
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PR 446 DSV: Discontinued Service List (Voluntary): Order of Ministry (57.42 KB) This form must be used by members of the Order of Ministry who are requesting that their names be added to the Discontinued Service List (Voluntary).
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PR 447 DLA: Discontinued Lay Ministry Appointment List (55.48 KB) This form must be used by a presbytery/district when requesting that the name of a Lay Minister be added to the Discontinued Lay Ministry Appointment List.
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PR 450: Covenant for Call, Settlement, or Appointment (86.04 KB) For comprehensive salaries, this form replaces PR 433 AP, 434 RS, 435 RC, 435a PRC and 451TR.
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PR 452: Interim Ministry Appointment (56.61 KB) Form for recommending appointment of an Interim Minister
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PR 462 CA: Pastoral Charge Request for Categorization (62.35 KB) This form must be completed by pastoral charges requesting a position categorization for a lay ministry position.
Entering Ministry
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CAN 200: Record Card for Candidates for the Order of Ministry (56.32 KB) Record Card for Candidates for the Order of Ministry
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CAN 202(b): Application to Be Received as a Candidate (49.14 KB) Application to Be Received as a Candidate for the Order of Ministry
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CAN 203(b): Approval of Appointment for Candidates (46.74 KB) Approval of Appointment for Candidates for Order of Ministry
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CAN 203: Actions by Session and Presbytery/District Regarding Inquirers (62.22 KB) Actions by Session and Presbytery/District Regarding Inquirers for Order of Ministry
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CAN 205: Candidate Self-Assessment Form (36.49 KB) Candidate Self-Assessment Form
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CAN 206: Annual Confirmation of Candidacy Status by Presbytery/District (37.82 KB) Annual Confirmation of Candidacy Status by Presbytery/District
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CAN 209: Application for Ordination/Commissioning (42.96 KB) Application for Ordination/Commissioning
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CAN 217: Annual Theological School Report (50.39 KB) Theological School Report to Presbytery Education and Students Committee Regarding Candidates for the Order of Ministry
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CIB 270(a): Conference Interview Board Personal Information Form (41.86 KB) Conference Interview Board Personal Information Form
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CIB 270(c): Conference Interview Board Reference Form (29.4 KB) Conference Interview Board Reference Form
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DIS 201: Action Recognizing an Inquirer (45.49 KB) Action Recognizing an Inquirer by the Governing Body and Presbytery
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DIS 202(a): Report and Recommendation of Discernment Committee (43 KB) Report and Recommendation of Discernment Committee
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RA 1: Application for Readmission to the Order of Ministry (105.07 KB) Form to be used for readmission to the Order of Ministry of The United Church of Canada.
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RA 2: Intent to Recommend Readmission (48.3 KB) Form to be used for readmission to the Order of Ministry of The United Church of Canada.
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SC 211: Application for Admission to the Shorter Course (40.92 KB) Application for Admission to the Shorter Course
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SC 212: Presbytery/District Recommendation re Shorter Course Application (38.09 KB) Presbytery/District Recommendation re Shorter Course Application.
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SME 207: Application for Supervised Ministry Education Experience (77.26 KB) To be used by a candidate for ordered ministry to be approved for Supervised Ministry Education.
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SME 208: Application by a Pastoral Charge to Be Approved as a Supervised Ministry Education Site (124.48 KB) Includes application for SME site and educational supervisor, presbytery and Conference assessment forms.
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SME 225: Supervised Ministry Education Evaluation (58.48 KB) To be submitted halfway through the Supervised Ministry Education experience and at the end, before the supervisee leaves the learning site.
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SME 225b: Mid-year Evaluation for AST Summer Distance Students, Year 1 (43.35 KB) To be submitted by December of year 1 of the Supervised Ministry Education experience.
Financial Assistance
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Form FAC-L: Application for Sabbatical Leave for Interim Ministers and Funding from the Interim Ministry Sabbatical Leave Fund (129.29 KB) Currently serving interim ministers who have served 60 months of interim ministry over the past eight years are eligible to apply for Sabbatical Leave for Interim Ministers.
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Fund for Visiting Ministry Personnel during a Sabbatical (178.38 KB) To assist pastoral charges that would be subject to undue financial difficulty in funding supply ministry during a sabbatical leave, and to encourage the vitality of ministry personnel who would refrain therefore from taking a sabbatical leave.
Grant Applications
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Agatha Kaasa Fund Bursary for United Church Women (UCW) Application Form (437.27 KB) The Agatha Kaasa Fund supports lay leadership training and education, continuing education within the church, and projects or events that promote education, mission, outreach, spiritual nurture, and ecumenical and interfaith dialogue, locally or abroad.
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Dorothy Amos Fund United Church Women (UCW) Application Form (372.18 KB) This fund is used annually to support greater connection of members of the UCW with church women in Canada and around the world.
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Healing Fund Application Form (43.25 KB) Application for funding from the Healing Fund of The United Church of Canada.
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Healing Fund: Final Report and Budget Template (41.03 KB) Complete this form for your final report to the United Church Healing Fund.
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Healing Fund: Interim Report and Budget Template (34.88 KB) Complete this form for your interim report to the United Church Healing Fund.
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Justice and Reconciliation Fund Application Form (33.6 KB) Complete this form and return it to the United Church to apply for funding from the Justice and Reconciliation Fund.
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MSG Revised: 2019 Conference Mission Support and Regional Council Grant (91.61 KB) This new form replaces forms MSG 3, 5, and 7.
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Oxford Endowment Fund (158.99 KB) Application form for bursaries for musicians
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Vision Fund: Continuing Education Bursaries Application Form (37.82 KB) Application to the United Church Vision Fund Con Ed Bursaries.
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Vision Fund: Flourishing Ministry Program Grants Application Form (46.78 KB) Application to the United Church Vision Fund Flourishing Ministry grants.
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Vision Fund: Seed Grants for Innovative Ministry Application Form (44.47 KB) Application to the United Church Vision Fund Seed Grants.
Pre-Authorized Remittance (PAR)
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PAR Authorization Form (62.57 KB) Pre-Authorized Remittance agreement for new donors and changes to existing banking information.
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PAR Cancellation Notice (70.93 KB) Form for treasurers to fill in and keep when a donor wants to cancel PAR. This ensures written agreement between the local church and donors.
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PAR Changes/Information Sheet (25.12 KB) A form for congregations to make changes or additions to their PAR contributions.
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PAR Confirmation Letter (18.54 KB) For treasurers to confirm new PAR registrations or new banking changes with donors. This form is for local churches to keep, ensuring written agreement between the local church and donors.
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PAR Loan Authorization Form (75.33 KB) A form to set up automatic debit repayments for a capital assistance loan.
Other
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Embracing the Spirit: Evaluation Report (38.89 KB) Evaluate your Embracing the Spirit project.
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Embracing the Spirit: Growth Grants Application (45.57 KB) Apply for growth grants from Embracing the Spirit.
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Embracing the Spirit: Tell Us Your Story (50.98 KB) Submit your success stories!
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UCC Protect Application Form (257.79 KB) Once completed, send this application by mail, e-mail, or fax to UCC Protect Service Team at Hub International for a no-obligation quote.
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UCC Protect Claim Incident Report Form (38.3 KB) Use this form to report all claims or any incident that might later give rise to a claim.
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United Church Women (UCW) Life Membership Application Form (21.98 KB) Application Form
Call to Action
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