Membership Form

Please consider joining with the electronic form below.

Another option is to download a print copy of the full Printable Membership Form to fill out and mail.

Whether it be the electronic or mailed form, in order to request automatic withdrawals from your bank account, you must also submit a signed copy of the PAR Form.

Printed Membership Forms and payment should be sent to :

DUCC Treasurer
c/o Helen Reed,  Box 99,
Oyen , Alberta T0J 2J0
[email protected]

Date (Required):
Email (required)

First Name (required)
Last Name (required)

Other Email
 

Street/Apt/Box
Community
Province

Postal Code
Country

Landline
Cell

Denomination
If the UCC, which region?

Diaconal Workplace if applicable
Identification, are you
If Other, please describe

If this is a recent identification for you, please give details (for example date and place of commissioning
or retirement, etc.)
Which category best describes your current diaconal ministry (pick as many as apply)
congregationalinstitutionaleducationalsocial justicepastoral careadministrativetent makingretiredfull timepart timevolunteerstudentother
Please elaborate if useful
This membership submission will be for
NewRenewalFor Membership Year
Membership Fees are a tangible way to support the work of the our association, it’s executive, and it’s committees. The amount of your support is flexible as you may offer what you can afford. The suggested annual membership fee is $130.00. The minimum annual fee is $15. If you are able, you are encouraged to pay an annual fee of $155.00, which helps to offset those paying a lower amount. All membership fees are tax deductible as donations.

For pre-authorized withdrawal from your bank account
Download PAR Form and send it along with a VOIDED cheque to
DUCC Treasurer, (address above)
For Annual Payment
Make cheque payable to Diakonia of the United Church of Canada, and send to the Treasurer.
Amount
Donation

Church Representation: If you are on a committee in your region or a General Council Committee or Task Group that has responsibility in some way for diaconal ministry, or as a diaconal rep, please describe.
Growing our website
Do you have a thesis that is not already on the website? (see Scholarly Works.) If it is available electronically please attach here. (PDF format is preferred, but doc or docx is acceptable)

If the thesis is unavailable electronically please detail the Title, degree, school, year and 2 sentence description.
Profile: Have you created your Profile, or have you checked to see that it is up to date?

Thanks for doing that!
If you still have not created your profile, please create your profile now!
Optional: Attach a recent GOOD QUALITY photo that we can attached to your profile.
Comments


The information is sent by email to the Treasurer and to your e-mail address. Our system is not without its glitches sometimes. IF you receive an error message asking you to contact the administrator, please do not resubmit. E-mail [email protected] and let us know! Thanks.

Membership in DUCC is open to anyone affiliated in some way with the United Church who understands themselves to be in diaconal ministry.  You’re involvement is welcomed!