License to Officiate Renewal Form | Episcopal Church in Connecticut

Name

First Name

Last Name

Email

Phone

Address

City

State/Province

Zip/Postal

Diocese where you are canonically resident or denomination in communion with The Episcopal Church

Indicate all the ways in which you are currently serving in ECCT

Regular supply in a single parish

Regular supply in multiple parishes

Priest-in-charge of an ECCT parish

Occasional supply in a single parish

Occasional supply in multiple parishes

Chaplain

OtherOther

Please include any additional information you would like to share with the bishop regarding your re-licensing process?

I affirm that I have completed all the requirements of Mandatory Clergy Professional Development, including background checks and in-person/Zoom training.

Yes

I’m not sure

All clergy licensed to serve in Connecticut are required to attend Mandatory Clergy Professional Development. Please contact Barbara Roos, Program Assistant to the Canon to the Ordinary, for more information or to confirm you have completed this requirement.

I am requesting my license to officiate in the Episcopal Church in Connecticut be renewed and, by my signature below, affirm my continued desire to serve as licensed clergy in the Episcopal Church in Connecticut.

Digital Signature

Clear

Type your name above to serve as your digital signature.