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LP: Reinstatement of License for Pastoral Ministry
Name:
DCOM Registrar
District: [__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR
Note: On this form you will list all Persons for which a vote is taken and place the date of the vote in the appropriate column.
Local Pastor
Vote: Reinstatement of License for Pastoral Ministry Last First Approved Date Unapproved Date
Please submit copies of this form to:
[__] DCOM file
[__] The Office of Clergy Services via DCOMConcerns@holston.org
Updated: 2023-10
Summary Report Action Outline SRAO05