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Get Stark County Hospitals Application For Clergy Visitation ...
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How to fill out the STARK COUNTY HOSPITALS APPLICATION FOR CLERGY VISITATION online
This guide provides step-by-step instructions on how to fill out the Stark County Hospitals Application for Clergy Visitation online. Whether you are a seasoned clergy member or new to this process, our comprehensive outline will help you navigate through each section of the application with confidence.
Follow the steps to successfully complete your application.
- Click the ‘Get Form’ button to access the application form. This will allow you to open the document in the appropriate editing interface.
- Fill in your personal information. Be sure to print your full name, provide your home address including city, state, and ZIP code. Indicate whether you have lived in any state other than Ohio in the past 10 years and list those addresses on the back of the form if applicable.
- Enter your contact information. Fill in your home, work, and cellular phone numbers, as well as your email address if you have one.
- Provide your birthdate. This is required for the background check and must be entered in the format MM/DD/YYYY.
- Identify your place of spiritual affiliation by writing the name of the church, synagogue, or mosque you represent and include its address.
- Specify your denomination and your religious title to clarify your position within your spiritual community.
- Document your theological education by naming your school, the degree obtained, and the year you graduated.
- Mention who ordained or licensed you, and provide a denominational reference along with their phone number.
- Ensure you have the required documentation, including a copy of your ordination or licensing certificate or a letter from your religious institution. Remember to plan to show a photo ID when applying for your badge.
- Review and certify the accuracy of your application by signing and dating the form.
- Once all fields are filled, save your changes and consider downloading, printing, or sharing the form for submission.
Complete your application online today for clergy visitation privileges.
Maximum of one (1) visitor per patient per session. Visiting hours will be: 5:00 pm to 6:00 pm Monday – Friday.
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