Pastor's Information Form
(As you would like to appear in the Church Directory)
Pastor's Contact Information

Please Complete form in full. All information gathered will be for the use of the District Office.

Section Number:
First Name:
Last Name:
Your Birth Date:
Social Security #:
Name of Spouse:
Spouse's Birth Date:
Marriage Date:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Name of Church:
Church Address:
City:
Zip Code:
State:
Church Mailing Address:
City:
Zip Code:
State:
Service Schedule:
  Local
 Type of license you hold:
 General

 Ordination
I am a full time Pastor:
List the percentage of your income Ministry/Secular:
List Branch Works as you would like it to appear in the Directory:
I have fully cooperated with the District Financial Plan:
Please list names of all Ministers holding License or Credentials attending your Church.:
List the name of any Minister in your Church holding License or Credentials you feel should be interviewed by the District Board. According to Article VII, Section 6, Paragraph 3 and Article VII, Section 7, Paragraph 27:
Comments:



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