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The Episcopal Diocese
of New York

1047 Amsterdam Avenue
New York, NY 10025
Tel: (212) 316-7400
info@dioceseny.org
 

License to Officiate (LTO)  Report & Renewal Request Form

If you wish to renew your license, please complete and submit this form. In the Diocese of New York licenses are in effect from July 1st – June 30th, the report and renewal process takes place annually in June/July.

Questions? Contact Alito Orsini (aorsini@dioceseny.org), Liaison for Transition Ministry.

LTO Report & Renewal Form

Contact Info

Canonical Residence

Place of Full-Time Employment

All our churches are listed here, but if you don't see it, please scroll to the bottom, select "Other," and fill out the box.

Place of Part-Time Employment/Engagement

All our churches are listed here, but if you don't see it, please scroll to the bottom, select "Other," and fill out the box.

Additional Place of Part-Time Employment/Engagement

All our churches are listed here, but if you don't see it, please scroll to the bottom, select "Other," and fill out the box.

Please provide details of the churches and dates when you have provided supply between July 1, 2017 and June 30, 2018.

If you don't see it, please scroll to the bottom, select "Other," and fill out the box.

Supply Instance 2


If you don't see it, please scroll to the bottom, select "Other," and fill out the box.

Supply Instance 3


If you don't see it, please scroll to the bottom, select "Other," and fill out the box.

Supply Instance 4


If you don't see it, please scroll to the bottom, select "Other," and fill out the box.

Supply Instance 5


If you don't see it, please scroll to the bottom, select "Other," and fill out the box.

Supply Instance 6


If you don't see it, please scroll to the bottom, select "Other," and fill out the box.
Sending

Form submission problems? Please scroll up to ensure that all required fields are properly completed.

Transition Ministry Contacts

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