Membership Form

Thank you for your interest in UCLM. Please fill out the form below. Only the fields marked with * are required. Once we receive your form, we will contact you to set up an interview. Please review the Get Involved page to learn about the UCLM membership experience.

Name

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Address

Address 1

Address 2

City

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Zip/Postal Code

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Which UCLM Ministries would you like to be a part of? (See https://www.uclmrochesterny.org/get-involved)

Your Skills & Talents that would help UCLM

Are you involved with other Social Justice Organizations? If you're willing, please list.

Are you involved in any faith organizations? If you're willing, please list. (All religions and/or unaffiliated persons are welcome.)

How did you hear about UCLM?

Any other information you would like to share with us?

United Christian Leadership Ministry

of Western New York, Inc.

Membership Form

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