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Eastern Association
Southern California Nevada Conference United Church of Christ
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Has any of this information changed since last year's UCC Yearbook?
Yes
No
I do not know
How do you prefer to be contacted?
Email
US Mail
Home Phone
Cell Phone
Office Phone
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
If you are in ACTIVE ministry, which of the following best describes your current ministry:
(SP) Senior Pastor of a multiple staff church
(P) Pastor
(AP) Associate Pastor
(CP) Co-Pastor of a local church
(PE) Pastor Emeritus
(IN) Interim Minister
(DT) Designated Term Pastor
(CHC) Chaplain, Health Care Setting
(CMV) Chaplain, Military or VA
(CCF) Chaplain, Correctional Facility
(CCM) Campus Minister
(CIN) Chaplain, Other Institutional Setting
(OR) Other Religious Work
(CE) Director of Christian Education
(MM) Music Ministry
(YM) Youth Ministry
(CM) Conference Minister
(CPS) Conference Professional Staff
(MY) Missionary WCM or other
(PC) Pastoral Counseling
(EC) Ecumenical Work
(DW) Denominational Work
(HW) Health & Welfare Work
(OL) Other Local Church Position
(SU) Supply Pastor
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?
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