Regional Church Council Member Profile
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Member Profile
1.
Title (check one)
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Miss
Ms.
Mrs.
Mr.
Rev.
Dr.
2.
Name:
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First
Last
3.
Preferred Mailing Address:
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Street Address
Additional Address
City
State
Zipcode
4.
Telephone
*
Home
Cell
Work
5.
Preferred E-mail Address
6.
Age:
22 or under
23-29
30-39
40-49
50-59
60+
7.
Gender
Female
Male
8.
Ethnic Background (check one)
African American
American Asian
Caucasian
Hispanic
Native American
9.
Occupation (if minister, give name of church where serving)
10.
Member (name of church)
*
11.
District
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Please describe your experiences, skills, or involvements in the following areas:
12.
Strategic Planning
13.
Program Planning
14.
Spiritual Growth, Spiritual Development, Spiritual Discernment
15.
Human Resources, Personnel, Staff Development
16.
Fiscal, Financial
17.
Marketing, Communications, Public Relations
18.
Please describe your previous and current involvement in your local congregation.
*
19.
Please describe your previous and current involvement in the Regional or General Church.
20.
What are your Spiritual Gifts? (Copy and paste the following into a new tab on your browser to discover your spiritual gifts then come back and answer this questions. http://www.ccinoh.org/admin/assets/spiritual%20gift%20inventory.htm)
*
21.
Date
*
mm/dd/yyyy
