Annual Review

Name

Home Phone

Cell Phone

Work Phone

Mailing Address

City

State

Zip

Has any of this information changed since last year's UCC Yearbook?

Yes No I do not know

Which of the following best describes your current status?

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

Date Started Current Position

Date of Birth

Are you available for Pulpit Supply?

Yes No

Are you available for Interim Ministry?

Yes No

Are you available for Transitional Ministry?

Yes No

Church where you are a member

Church or Place where you serve

Current position and/or ways that you serve:

Continuing Education Units

(Optional) Is there anything else that you would like Section B to know?

Most Important to Us - How are you?

Eastern Association

Southern California Nevada Conference United Church of Christ

Annual Review