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