EspaƱol
PrintEmail
Decrease (-) Restore Default Increase (+)
Faith and Spirituality
Clergy Wellness Program

Thank you for your interest in the Clergy Wellness Program with the Texas Health Harris Methodist Department of Pastoral Care.

Please complete the fields below and hit "submit." You will receive a confirmation e-mail and a Texas Health representative will contact you very soon.


* Indicates required information
First Name * 
Last Name * 
Credentials after Name 
Title, or Position with Church * 
Street Address * 
City * 
State * 
Zip * 
e-mail Address * 
Date of Birth * 
Years in Ministry * 
Name of Church * 
Why do you think you would benefit
from the clergy wellness program? * 
What is the biggest challenge facing
you in your ministry today? * 
What do you hope to accomplish
by being a part of this group? * 
Has your congregation endorsed
and are they willing to support
your participation in this program?  
Authentication * 

If the challenge words are too difficult to read, click here to refresh.