2020-2021 CSRC Sacraments Elder Application Form

Name of Community of Faith (Pastoral Charge or Outreach Ministry) Requesting Permission:*
Reason for requesting a Sacraments Elder:*
Name of person to be licensed:*
First Last
Email of Person to be Licensed:
Phone Number of Person to be Licensed:
Has this person been previously licensed as a Sacraments Elder*
- Yes
- No
In What Years?
If this is a first time application, has the applicant completed the training required for a Sacrament’s Elder?
- Yes
- No
Approval by Community of Faith
Date of motion by governing body to request permission for a Sacraments Elder:*
Date Format: MM slash DD slash YYYY
Email of Governing Body Representative Completing this Form:*
Signature on behalf of Governing Body (Chair, Secretary or Clerk of Session)*
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Approval by Community of Faith