Annual Review

Name(Required)

Prefix First Last Suffix

Email

Phone(Required)

Phone Type(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Please contact me via

Email

Text Message

Phone

US Mail

Has your information changed since your last review?(Required)

Yes.

No.

I’m unsure.

Which best describes your current ministry?(Required)

Active in ministry in the United Church of Christ

Active in ministry outside of the United Church of Christ

Presently seeking a call or position of ministry

Retired, and still able to be active in paid or unpaid ministry roles

Retired, and limited by age and conditions to minimal activity

On Leave of Absence, expecting to return to ministry

On Leave of Absence, not expecting to return to ministry

Engaged primarily in non-ministerial work.

Other

Date of Ordination(Required)

Date of Birth(Required)

Are you available for any of the following?

Pulpit Supply/Guest Preaching

Interim Ministry

Transitional Ministry

Continuing Education Units(Required)

Most Important to Us – How are you?(Required)

Is there anything else you would like to share?

Eastern Association