2020-2021 CSRC Sacraments Elder Application Form Sacraments Elders Registration Form 2020-2021 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*YesNoIn What Years?If this is a first time application, has the applicant completed the training required for a Sacrament’s Elder?YesNoApproval by Community of FaithDate 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)*CAPTCHA