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ACLAMEN
Asociación de Clérigas Latinas Metodistas Nacional
National Association of Latina Methodist Clergy Women
MEMBERSHIP FORM
Name _____________________________________________________________
Mailing Address ______________________________________
Email_ or Cell_
Ministerial Status: _____ _________________________ Years in Ministry____ __
(Missionary, Elder, Deacon, Local Pastor, etc)
Pastoral or ministerial responsibilities and church served: ———————————— ________________________________________________________________________
Annual Conference: _______ ________Jurisdiction___ ____________
Education& Training______ _____________________________
BA, MA, MDiv, Course of studies, etc.
Skills & Hobbies ____ ____________________________________________________________________
Membership for year ______2015-1016_______________
_X_ I want to register for the October 15-17, 2015 National Convocation at Scarritt Bennet Center located at 1008 19th Avenue South, Nashville, TN. 37212.
_X_ I want to request a scholarship for housing and meals. This includes Thursday and Friday night housing and all meals.
NOTE Membership for ACLAMEN is $50.00 per year beginning with the date this form and payment is received the first year.
Please send this form and check made payable to ACLAMEN.
Mail to: Rev. Cristian De La Rosa
P O Box 15087
Boston, MA 02215
You can also scan and email application to Cristian De La Rosa at cdlrosa@bu.edu by September 1, 2015. For questions contact her office at (617)-353-3058.