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Full Name: |
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Home Telephone : |
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Home Address: |
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City: |
Zip: |
| Office Address: |
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City:
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Zip:
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Birthday: |
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Wedding Anniversary
(if applicable): |
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Email: |
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Cell Phone: |
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| If applicable |
| Spouse's: |
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Children's Names: |
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| Other Family: |
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Please check all that apply to you: |
Details:
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* If you are fully retired, only sections 3, 4, and 6 are required. However,
please return to the Regional Office so that records are complete |
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1. Employment |
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a. Ministry Related |
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To what expressions of the Christian Church (Disciples of Christ) are you
accountable for the performance of ministry? |
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Name of Position: (pastor, teacher, counselor, etc) |
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Employer: |
Telephone:()
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Address:
City:
Zip:
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b. If you are not serving in active ministry at the present time, are you in the Search
and Call Process? |
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Comments:
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c. Other Employment |
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Employer:
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Telephone: ()
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Address: |
City: |
Zip: |
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2. Education and Experiences |
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Name and location |
Degree Received
Year |
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a. College: |
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b. Seminary: |
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c. Other: |
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d. Qualifications for Standing include participation in "programs of study,
research, growth, and renewal." (Policies, and Criteria for the order of Ministry
[V.B.3.b.]) Please indicate how you have fulfilled this standard during
the past year. |
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Describe particular challenges or joys in your ministry that you wish to share: |
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Where appropriate, may we share this information with your Area Minister or Regional
Elder? |
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3. Ministerial Credentials (Check one) |
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a. Licensed |
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Congregation:
City:
State:
Expires:
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b.Ordained |
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Congregation:
City:
State:
When:
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Regional Participation in Ordination: |
Name of Region: |
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If ordained in another demonination, please indicate the denomination: |
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When and where your ordination was recognized by Disciples: |
Date:
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Region: |
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4. Maintenance of Relationship with the Christian Church (Disciples of Christ) |
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“Standing continues so long as the minister maintains relations with the Christian
Church (Disciples of Christ), including participating membership in a recognized
[Disciples)] congregation in the community, where feasible.” (Policies and Criteria
for the Order of Ministry [V.B.3.c.]). |
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a. I am a member of: Church:
Location: |
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b. Participation in the wider Church (Check those that apply in the last year) |
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5. Affirmations |
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I have read and affirm My Ministerial
Code of Conduct. (Click Here To View) |
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I have read and affirm the Christian
Church in Ohio’s Provisional Principles of Procedure Regarding Sexual Misconduct.
(Click Here To View) |
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I have completed a regionally sponsored
workshop on Sexual Ethics or UCC sponsored Healthy Boundaries Sexual Misconduct |
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Date of Workshop:
Region:
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I have completed the Christian Church in Ohio sponsored workshop on Anti-Racism - Pro Reconciliation. |
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6. Signature:
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Date:
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By this submission I indicate my desire to receive Ministerial Standing in the Christian
Church (Disciples of Christ) through the Christian Church (Disciples of Christ)
in Ohio. |
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