Information Form for Minister

Information Form for Minister

Full Name	Date of Birth
Spouse’s Name	Date of Birth
Wedding Anniversary
Address	Phone Number Home: Cell Phone:
Children and Birthdate's
College Information Please List College/Year Graduated/Degree
Year Ordained
Denomination Ordained in
Place of Ordination
Churches Pastored in NC East District Please List Church/Start Date/End Date
Churches Pastored in other Districts or Denominations Please list name & districts or Demominations with year start & end
Other Service – Teacher, Evangelist, Missionary, etc. and Date
District Offices Held:
General Offices Held:
Other Information:
Name of Person Filling Out Form*
Email of Person filling out form*
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