| Minister's Information |
| Full Name (no nicknames please): |
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| Personal Email: |
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| Home Address: |
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| Preferred Address for Publishing in Directory (simply indicate work, home, etc., if address has already been given): |
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| Personal Phone Numbers (including type of number: home, cell, etc.): |
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Employment Information |
Position One |
| Position Title: |
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| Type of Ministry (community, settled, interim, etc): |
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| Is this a called, contract, or another type of position? |
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| Congregation Name (or employer's name, if not a congregation): |
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| Employer's Street Address: |
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| Employer's City, State: |
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| Employer's Phone: |
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| Employer's Email: |
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| Start Date (at least month and year): |
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| End Date (or state "continuing"): |
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| Percentage of Time Employed Here (full-time, half-time, 75%, etc.): |
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Position Two |
| Position Title: |
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| Type of Ministry (community, settled, interim, etc): |
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| Is this a called, contract, or another type of position? |
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| Congregation Name (or employer's name, if not a congregation): |
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| Employer's Street Address: |
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| Employer's City, State: |
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| Employer's Phone: |
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| Employer's Email: |
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| Start Date (at least month and year): |
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| End Date (or state "continuing"): |
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| Percentage of Time Employed Here (full-time, half-time, 75%, etc.): |
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Position Three |
| Position Title: |
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| Type of Ministry (community, settled, interim, etc): |
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| Is this a called, contract, or another type of position? |
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| Congregation Name (or employer's name, if not a congregation): |
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| Employer's Street Address: |
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| Employer's City, State: |
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| Employer's Phone: |
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| Employer's Email: |
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| Start Date (at least month and year): |
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| End Date (or state "continuing"): |
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| Percentage of Time Employed Here (full-time, half-time, 75%, etc.): |
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Position Four |
| Position Title: |
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| Type of Ministry (community, settled, interim, etc): |
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| Is this a called, contract, or another type of position? |
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| Congregation Name (or employer's name, if not a congregation): |
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| Employer's Street Address: |
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| Employer's City, State: |
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| Employer's Phone: |
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| Employer's Email: |
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| Start Date (at least month and year): |
|
| End Date (or state "continuing"): |
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| Percentage of Time Employed Here (full-time, half-time, 75%, etc.): |
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