A Check for Dues Should Be Made Toumcma and Returned with This Form

Membership Application

UMCMA is a professional network engaging in support and advocacy of United Methodist collegiate ministry.

A check for dues should be made toUMCMA and returned with this form:

Voting Membership

Full-time: _____ One-year membership $100 ______Two-year membership $180

Part-time: _____ One-year membership $50 ______Two-year membership $85

Additional Contribution to Support the Work of UMCMA ______

Non-Voting Membership

Student Membership: ______One-year membership $20

Institutional (Conference Boards, Colleges, Churches, etc) : ______One-year membership $100

Board of Higher Education Colleague Membership: ______One-year membership $50

Faithful Supporter of Collegiate Ministry Membership: ______One-year membership $50

Additional Contribution to Support the Work of UMCMA ______

Member’s Name______

Address:______

City/State/Zip

Office Phone:______Home______

Cell Phone ______

Ministry E-mail ______

Personal E-mail:______

Where should we send occasional updates to? Ministry email Personal email

Facebook? Name______Twitter? Name______

Academic Institution:______

Academic Institution2: ______

Academic Institution3+: ______

Ministry Website:______

How many years have you served in collegiate ministry?______

If you are a collegiate minister, what type of local collegiate ministry unit do you serve? (Please check as many as apply):

__ Wesley Foundation__ Chaplain

__ University Chaplaincy__ Church-based Collegiate Ministry

__ Other (Please indicate: ______

Please indicate the type of positions in which you serve (Please check as many as apply):

____ CollegiateMinister____ Pastor of a Local Church ____ Chaplain

____ Member Annual Conference BHECM ____ General Agency Staff____ Member of GBHEM

____ Member of Local Collegiate Ministry BoardOther: ______

Please indicate your willingness to serve UMCMA:

______Resource Development: Develop resources for collegiate ministry that can be shared with other individuals. Could include sending in articles for the UMCMA web site.

_____ Membership Recruitment: Work to spread the word about UMCMA in order to recruit new members. Could include sending emails to other collegiate ministry colleagues or supporters in your Annual Conference or region.

_____ Network: Join the UMCMA Facebook group and follow UMCMA on twitter. Actively post pertinent collegiate ministry information, resources, and updates and invite people to be a part of these two networks.

_____ Advocacy: Communicate important and relevant advocacy concerns to those in your area, strengthening our relationships, connection and voice in pertinent matters facing collegiate ministry.

_____ General Conference Support: Help to prepare legislation or be on site work as a lobbyist for Collegiate Ministry.

_____ Fundraise: Help to raise support and awareness of the needs of collegiate ministry and help to facilitate a stable, effective and vibrant UMCMA.

_____ Other: ______

Membership Cycle runs from when you pay your dues to the end of the same month the next year. For example, if you pay your dues for a one-year membership on January 15th, 2017, your membership will be valid until January 31st, 2018. You will then get an email reminder to continue your membership.

Checks should be made payable to UMCMA.

Please send membership form and checks to:

American University UM Chaplaincy

ATTN: Joey Heath-Mason, UMCMA Membership Chair

4400 Massachusetts Ave. NW

Washington, DC 20016