Religious/Denominational Affiliation Report
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Religious/Denominational Affiliation Report Office of Registration and Financial Aid
(First) (Middle) (Last) (Suffix) Religious/Denominational Affiliation: On the bottom of this form you will find the “ATS Religious/Denominational Affiliation List.” Please consult this list and indicate your most accurate religious affiliation below. For example, if you are “Baptist,” please be specific about the kind of Baptist you are, i.e. ,American Baptist Churches in the USA,” “Southern Baptist Convention,” or “Independent Baptist”). If you do not see your particular tradition listed, then check the box “Other” and fill in the name of your affiliation. If you are not affiliated with any tradition, please check the box “None.” If do not wish to disclose your affiliation, please check the box that so indicates. Affiliation: _______________________________________ ☐ Other: ________________________ ☐ None ☐ I do not wish to disclose this information Are you ordained in this religious tradition/denomination? ☐Yes ☐No Is it your intention to seek ordination in this denomination? ☐Yes ☐No If you answered yes, when do you anticipate you will complete the process? __________________________________ (Approximate Date)
Advent Christian Church African Methodist Episcopal African Methodist Episcopal Zion American Baptist Churches in the USA Anglican Church of Canada Anglican, Other Assemblies of God Associate Reformed Presbyterian Church Associated Gospel Churches of Canada Baptist
Baptist Convention of Ontario and Quebec Baptist General Association of Virginia Baptist General Conference Baptist General Convention of Texas Baptist Missionary Association of America Baptist State Convention of North Carolina Baptist Union of Western Canada Brethren Church (Ashland, OH) Brethren in Christ Church Buddhist
Byzantine Catholic Archeparchy of Pittsburgh Canadian Convention of Southern Baptists Christian Mission and Alliance Christian Brethren (Plymouth Brethren) Christian Church (Disciples of Christ) Christian Churches and Churches of Christ Christian Methodist Episcopal Christian Reformed Church Christian Science Church of God (Anderson, IN) Church of God (Cleveland, TN) Church of God in Christ Church of the Brethren Church of the Nazarene Churches of Christ Churches of God, General Conference Conference of Congregational Christian Churches Conference of Mennonites Conservative Baptist Association of America Convention of Atlantic Baptist Churches Cooperative Baptist Fellowship Cumberland Presbyterian Church Evangelical Church in Canada Evangelical Congregational Church Evangelical Covenant Church Evangelical Formosan Church Evangelical Free Church of America Evangelical Free Church of Canada Evangelical Lutheran Church in America Evangelical Lutheran Church in Canada Evangelical Presbyterian Church Fellowship of Evangelical Baptist Churches in Canada Fellowship of Grace Brethren Churches Foursquare Gospel Church Free Methodist Church Friends, Quaker General Association of General Baptists General Association of Regular Baptist Churches General Baptist State Convention, NC General Church of New Jerusalem Greek Orthodox Archdiocese of America Independent Baptist Independent Methodist Inter/Multidenominational Jewish
Korean Methodist Lutheran Church, Canada Lutheran Church, Missouri Synod Lutheran, Other Mennonite Brethren Church in NA Mennonite Church, Canada Mennonite Church, USA Mennonite Church, Other Missionary Church in Canada Moravian Church in America Muslim National Baptist Convention Non-denominational North American Baptist Conference Orthodox Church in America Orthodox Presbyterian Orthodox, Other Pentecostal Assemblies of Canada Presbyterian Church in America Presbyterian Church in Canada Presbyterian Church, USA Progressive National Baptist Convention Reformed Church in America Reformed Church in Canada Reformed Episcopal Church Reformed Presbyterian Religious Society of Friends Roman Catholic Salvation Army Seventh Day Baptist General Conference Seventh-day Adventist Southern Baptist Convention Swedenborgian Church, General Convention Unitarian Universalist United Church of Canada United Church of Christ United Methodist Church United Pentecostal Church International Wesleyan Church Wisconsin Evangelical Lutheran Synod Boston University School of Theology United Methodist Ordination Process Reporting Form Office of Registration and Financial Aid
I have contacted my pastor, District Superintendent (DS), or another deacon or elder and declared my interest I have completed the one-year requirement for membership of a recognized UMC church or campus ministry I have applied to my District Superintendent in writing and asked for admission to the candidacy program I have completed the beginning stages of candidacy with my candidacy mentor, who was assigned by my DS I have been interviewed by the Pastor/Staff Parish Relations Committee of my local church and been given a recommendation by Charge Conference or equivalent as specified by my district committee I am a Certified Candidate for ministry I have completed my psychological assessment, criminal background, and credit check I have met with the Board of Ordained Ministry or District Committee on Ordained Ministry. The Board of Ordained Ministry or other district committee on ordained ministry approved me for ordination. Do you intend to serve, or are you already serving, as a Local Pastor in the United Methodist Church? ☐Yes ☐No I hereby consent to the release of my information to the United Methodist General Board of Higher Education and Ministry. (Note: this consent is required of all students seeking STH financial aid that is tied to candidacy for ordination.) ________________________________________________________________ (Signature) 
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