Placement Policy Acceptance Form

Note: If you use the link to this page provided in the email you received, it will automatically fill in the contact information fields for you.

"*" indicates required fields

The person agreeing to the policy.

The title/position of the Rector/Official.

The email address of the Rector/Official.

The city & state where the church/institution is located.


YYYY slash MM slash DD

This field is for validation purposes and should be left unchanged.