Unitarian Universalist Association
Notice of Ministerial Call or Hire
Please complete this form for Called or Hired ministers. It is preferred that you complete it once all details of the agreement are worked out. However, it is alright to send the form in with only the required information. If the form is incomplete when submitted, our offices will reach out to you to gain the additional information. Please note, this form can also be filled out by the called or hired minister. Thank you!
Name of Congregation
*
Congregation City and State
*
Four Digit UUA Congregational ID
*
UUA Region
*
Central East
MidAmerica
New England
Pacific Western
Southern
Canada
Name of Minister Called or Hired
*
Expected Start Date of Ministry
*
MM
/
DD
/
YYYY
Is this ministry a
*
Call
Hire
Percent time FTE
*
100%
80%
75%
66%
50%
33%
25%
Other
Maximum of
250
characters.
Currently Used:
0
characters.
COSTS OF MINISTRY
Total Salary plus Housing
*
Did you offer Health Insurance?
Is the Minister Intending to Enroll in UUA Health Insurance?
% of Minister's Health Insurance paid by congregation?
If applicable, did you offer Health Insurance for the Minister's Family?
If applicable, is the Minister intending to enroll their family in the UUA Health Insurance?
% of Minister's Family Health Insurance paid by congregation?
Did you offer Life Insurance?
Is the Minister intending to enroll in UUA Life Insurance?
% of Minister's Life Insurance paid by the congregation?
If applicable, did you offer Life Insurance for the Minister's Family?
If applicable, is the Minister intending to enroll their family in UUA Life Insurance?
% of Minister's Family Life Insurance paid by congregation?
Did you offer Dental/Vision Insurance?
Is the Minister intending to enroll in UUA Dental/Vision?
% of Minister's Dental/Vision Insurance paid by congregation
If applicable, did you offer Dental/Vision Insurance for the Minister's family?
If applicable, is the Minister intending to enroll their family in UUA Dental/Vision Insurance?
% of Minister's Family Dental/Vision Insurance paid by congregation?
Did you offer Long-Term Disability Insurance?
Is the Minister intending to enroll in UUA Long-Term Disability Insurance?
% of Minister's Long-Term Disability Insurance paid in congregations?
Contribution in Lieu of FICA?
*
Retirement Plan Contribution % of Salary & Housing
*
Professional Expense Allowance
*
Congregational Vote (if called)
Number of yeas
*
Number of nays
*
Number of abstentions
*
Name of Person Submitting Form
*
First
Last
Email of Person Submitting Form
*
Role of Person Submitting Form
*
Name of Search Committee Chair (if not submitting form)
First
Last
Email of Search Committee Chair (if not submitting form)
Name of Individual who Administers Benefits for Staff
First
Last
Email of Individual who Administers Benefits for Staff
Any final comments?
Do Not Fill This Out
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