Certification Registration
After filling out this form, please also send your job description and a letter of support from your congregation’s minister and/or board president to marie@fvuuf.org.
Questions about the UUAMP Certification program or the application process may be directed to Marie Luna, UUAMP Certification Coordinator, marie@fvuuf.org.

Please make your $250 check payable to "UUA-UUAMP" and mail it to:
Peggy Garrigues, UUAMP Treasurer
Unitarian Universalist Society
2355 Oakdale Rd.
Coralville, IA 52241

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Name *
Address *
Email Address *
Congregational Role *
Phone Number *
Congregation served *
Size of current congregation *
Length of time at congregation in your role *
Congregation’s growth history *
Brief description of membership program *
Write a brief bio of yourself. This will help us get to know you. *
Why do you want to complete this program? *
How would you describe your membership program? Healthy, struggling, bursting with energy, in need of a new vision, etc? *
What are your strengths as a membership leader? What areas need improvement? Describe your “potential for excellence in membership ministry”. *
You will work with a different advisor for each competency. What kind of supervisory style do you prefer? *
What questions do you have about the program? *
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