Personal Information Form
The Ministerial Vocation Committee and the Office of the Stated Clerk of the Evangelical Presbyterian Church are responsible for denominational vocational services. As part of the process of “matching” ministers and congregations, the Office of the Stated Clerk provides resources and advice to both pastors and congregational search committees. To that end, we ask congregations and ministers to complete information forms as an introduction to each other, and a first step in the process of calling a minister for a congregation. For both the individual pastor and the congregation, this is an opportunity for self-study and for evaluation of current ministry and goals. This calls for honesty, effort, and commitment to open communication.
The Personal Information Form presents the unique skills, gifts and experiences of a pastor. Search committees are encouraged to approach this information respectfully and prayerfully. It is our hope that this will be of help in facilitating the search process. It is also important to keep in mind that these Information Forms are an initial introduction. The second phase of the process will be more in depth interviews with those who appear to be most compatible with the congregation’s vision.
Part I Statement of consent Part IV Ministry Preferences and History
Part II Personal Information Part V Appraisal
Part III Narrative Part VI Background Disclosure
Please return the completed document to:
Office of the Stated Clerk
Evangelical Presbyterian Church
17197 N. Laurel Park Dr., Suite 567
Livonia, MI 48152-7912
Phone: (734) 742-2020 Fax: (734) 742-2033
Part I: Statement of Consent*
We are called to honesty and a commitment to open communication as we seek to build the body of Christ. In that spirit, we ask that you confirm your agreement to the following statements by your signature below:
I attest that the information contained in my Personal Information Form is true and complete to the best of my knowledge.
I authorize the persons and entities, such as members of search committees of a prospective calling body or appropriate staff persons, to make inquiries regarding all statements contained in my Personal Information Form. I also authorize all persons referred to in the Profile as references, members of congregations I have served, or personal/professional colleagues to supply verification of the information provided in the Personal Information Form. I understand that such persons may comment on and state their opinions regarding all matters addressed in the profile, including without limitation, my background and character. To encourage such persons to speak openly and responsibly, I hereby release them from any claims or liabilities arising from their responses and comments if made in good faith and without malice.
I authorize staff of the Office of the Stated Clerk of the General Assembly to circulate, distribute, and otherwise share information gathered in connection with my Personal Information Form to representatives of calling bodies. I hereby release the Evangelical Presbyterian Church, its agencies, and all contractors or employees of the Evangelical Presbyterian Church or its agencies from any claims or liabilities in connection with the Personal Information Form or its distribution.
I understand that I may receive copies of all written information, which is submitted to the Office of the Stated Clerk in connection with the Personal Information Form, if I make a request in writing. I may submit additions to my file to supplement or reply to any matters included in my file.
*A copy of this consent form will be available to reference sources.
I am in a position to consider a call at this time.
Part II: Personal Information (Please print or type)
(Last) (First) (Middle)
1. List factors that affect you or your family and will influence your relocation (e.g., dual career, or physical or mental disability that may require accommodation):
2. Work History:
Present/Last Position (include name of church/institution, city & state) Dates of Service:
Therapuetic Mentor, Northeast Behavioral Health, Beverly, MA
Previous Ministry Positions (include name of church/institution, city & state) Dates of Service:
2a. Ordination Status
If not ordained:
3. Educational Background:
a. Name of Institution Dates Attended Degree Achieved
b. Continuing Education/Professional Development (please include dates):
c. Community and Civic Activities:
Lead Bible study and prayer group for young married couples, 2009-present
Participated in mentor program for at risk and disadvantaged youth, 2011-present
Led youth group 30 Hour Famine, 2007-2009
Various fundraisers for World Vision
d. Presbytery and General Assembly Activities:
Attending East Presbytery
e. Ecumenical Activity:
Founded, planned and lead community Alpha Course, 2008-2009
Cooperation with other local churches while serving as director of youth, 2007-2009
f. Special Interests, Hobbies:
Strategy board games, fencing, camping, reading, college hockey, gardening
g. Languages you can speak (and level of proficiency):
Some conversational Spanish
Spiritual direction and discipleship in community with other leaders.
From a very young age I have always wondered what was true and really worth living for. My father was raised Catholic and my mother Jewish, so when they got married they had trouble finding someone to perform the service. No priest or rabbi would do their wedding, and when my father said he would not be raising his children catholic he was told not to return to the church. Because of this I was raised with a negative view of organized religion. I didn’t just depend on the negative experience of my parents to see religion as a bad thing, because when I was only six years old a friend of mine invited me to go to church with him. When I got there I had to sit through an entire sermon about how evil Jews were. Although I was not religiously Jewish at the time, I knew that my mother and myself were the only Jews in a 20 mile radius, and that this group of people got together on a weekly basis to talk about their hatred for us. This lead to me seeing Christianity as a hate filled and close-minded religion for years to come. Whenever I ran into someone who claimed to be a Christian I would debate with them about their faith and quickly found that no one knew what they believed or why they believed.
One of the reasons I hated Christians so much is that I deeply desired to know what was true about the world, and what the point of life is when everyone ultimately dies. Christians claimed to know the truth, and they had a sense of security that they would live forever in heaven. I knew from my experience with them that they took their authority from what their parents and pastors told them without doing any research of their own. Their security was just unthinking medication to lead them away from thinking about life. I was on a quest to find truth, but the character of the Christians I met let me know right away that Christianity and the Bible were the last places to look for it.
During my senior year of high school I ran into a Christian who loved to talk about faith as much as I did. I was intrigued because she knew a lot about her faith, but mostly just because it made for a far more interesting conversation than the rest of the Christians I had talked to. I was going to try and convert her to atheism and she was going to try and convert me to Christianity. A few months later we were driving out to a restaurant when she asked me what it was that I believed. I explained to her that I was looking for truth, but I wasn’t going to believe in anything unless I could prove it existed one hundred percent. As I was explaining this we were coming downhill to a red light and she asked me if I was going to use the breaks on my car, even though I couldn’t prove one hundred percent that they were going to work. I told her that although I could not prove it I would still use them because they were the best thing I had, and they had never failed me in the past. She said that is why she believed in God, and I conceded that she had won the point. As a prize for winning the conversation, she asked me to try praying and for the sake of scientific inquiry I agreed. When we got to the restaurant before we ate I closed my eyes and thought, “God, if you're out there, which I know you're not, let me know because I am looking for the truth.”
We ended up going to the prom together, but my best friend's mother refused to let my date come to the after party at her house because she was a Christian. However, my date's parents said that we could have our own after party at their place. Instead of being with my friends who I would have been distracted by all night, I was sitting there almost alone in the dark and relative quiet watching movies. From out of nowhere I felt the overpowering presence of God inside of me, and started crying uncontrollably. After awhile I started laughing because of an inexplicable knowledge that everything was ultimately going to be ok. At that point I knew I seriously needed to pursue God to see where the truth was.
I went away to college a few months later and connected with a campus Christian group where I could see people who were living the Christian life. I also got involved in my first Bible study and became amazed with what was actually inside the pages and how historically accurate everything was. The last place I even thought to find truth is where it really was. As I learned more and more from the Bible, God was progressively showing me answers to all of the questions that I had throughout my entire life. I saw not only what was true, but who God was, what the purpose of my life is, and what happens after we die. During that year I formally accepted the sacrifice of Jesus and I decided that I wanted to share what Christianity was truly about in a country where it is so easy to think we know what God, Christianity, the Bible or the church are about. I found the truth and it showed me my eternal purpose and gave me a moral compass.
2. Please describe briefly (Confine your answers to one page):
My leadership style can best be described as leading alongside the church. God has equipped His entire church with gifts and talents to worship Him and spread the gospel. I believe the job of a pastor is not only to exercise his own gifts, but also to help the church members discover, hone, and exercise their gifts for the glory of God. Because of this I strive to practice an interactive style of leadership.
There are times where I engage in more direct leadership when skills and gifts are first being developed, and more structure is necessary. If I am leading alongside someone who has well developed skills and gifts my style will be interactive. If I am leading someone who has gifts necessary for a task that exceed my own, I offer myself as a resource for guidance, but recognize that God is working most directly through the person He has gifted with the ability for that specific situation.
At all times I strive to lead in a contemplative way. In searching the scriptures and praying together, the church can better hear God’s calling. I lead people through spiritual disciplines in the work of the church, both to strengthen personal skills in listening to God, and so that the church is following God in the direction that He intends for us to go.
b. My worship emphases: (preaching style, preferred worship emphases and style, etc.)
My primary worship emphasis is “big idea” preaching in the Haddon Robinson school of thought. I strive to exegete scripture so that the idea understood by the original audience becomes clear to the modern congregation. In addition to making the idea of scripture clear, I work to show how the scripture impacts our lives and what God is calling us to. God makes Himself known to the church through the Bible, and clarifying and applying it in the sermon is of utmost importance.
I also believe that following and understanding the order of worship is important to a worship service. Through our comprehension and participation in the order of worship, we dialogue with God and experience forgiveness, reconciliation, gratefulness, instruction, and commission. The order of worship keeps us focused on God and what He wants to communicate with us. Adhering to this keeps us from straying from full worship of God into the way that we prefer to interact with Him.
I also believe it is important to coordinate the separate sections of worship with the unified theme of the scripture for the day. This issues a clear call to God’s people as they not only hear God’s Word, but read and sing it to each other as well. Just as the sermon should clearly declare a specific message from God, God can speak through the whole worship service.
As long as these elements are present, the style of worship is best decided by the local culture of the church. God’s people can be equally reverent singing alongside a pipe organ or a guitar. Some contexts may call for a blended style. Separate services may also work best, as long as measures are taken to keep unity within the larger church body.
c. My ministry gifts/skills/strengths:
God has blessed me with three primary ministry gifts: preaching/teaching, evangelism, and vision casting. God has given me a burning desire to preach His Word and given me the opportunities to steward this gift through a Th.M. in preaching. Expository preaching is a vehicle that God charged the church to use to proclaim His Gospel. God has given me the ability to understand the scriptures and then clearly communicate to others what they mean and what God is calling us to through them. In addition to a pulpit ministry, I have also been given a passion for Christian education away from the pulpit. In leading Bible study, small groups, and confirmation, I have been able to not only teach a specific scripture passage, but foster in others a longing and ability to search the scriptures more deeply in their devotional life.
Through my unique background, God has also given me a deep desire to see evangelism in the church. I grew up thinking that I knew the what the gospel was, but was shocked when I read the Bible to see how different it was than it is commonly presented in culture. I found out that Christians and non-Christians alike do not know God’s offer of redemption or what it means to live in that redemption. Because of this God has given me a deep desire to spread the gospel in the community through passing on this desire, training churches on how to share their faith, and leading formal programs like Alpha.
God has also given me the gift of vision casting to lead His church. God has given the church a comprehensive gospel that incorporates all of our life, and He has given me the desire and ability to communicate that in my preaching and administrative tasks. I enjoy corporate and individual spiritual direction, where we seek what God is doing with ourselves and the church in our overall mission. It is easy to become distracted with the tasks of the church, but God has given me the ability to help others listen to see what He is calling us to.
My vision for ministry includes shepherding a church where non-Christians are coming to new faith, Christians are deepening their faith, God’s word is central, and youth work is valued. God has delivered those already in the church both for their own salvation, and to spread His gospel to the rest of the elect. I envision a ministry where I lead the church in reaching out to non-Christians in the community. God has given the church a high calling of making disciples of the nations, and we are blessed with this ministry. This includes growing in our own understanding of the gospel, learning the most appropriate ways of sharing it with those around us, and corporate prayer.
God has also called the church to a lifetime of discipleship, growing in their knowledge of and obedience to God daily. I envision a church where people at any stage in their relationship with God will be able to hear who He is and what He is leading them to. This includes Biblical preaching, Sunday school, small groups, and corporate outreach opportunities. It is important that people at all stages have an opportunity to hear what God is saying to them specifically, so that everyone can continue to be discipled by God. I envision a church where people ranging from non-Christians through mature believers are constantly learning about God and what a life following Him entails.
I also envision a church where the word of God is central. This includes exegetical preaching, and encouraging corporate and individual Bible reading. Because God has chosen to reveal Himself to us through the scriptures, it is necessary that the ministry have scripture at the center. God reveals Himself to us and directs us through His word. Preaching the Bible exegetically not only proclaims God’s truth and shows us how to apply it today, but also demonstrates a way of reading the Bible that affects us every day of the week. In addition to scripture being central in the worship service, I also envision a ministry that promotes small groups where scripture is central and believers can encourage each other in the Christian life.
Finally I envision shepherding a church where youth ministry is valued. Because the large majority of people are saved in their youth, the church’s ministry to youth is crucial. This includes both strong programs in the church for youth and supporting families in raising their children. Our children are forming the way they view the world in their youth, and the church has the opportunity to give them God’s values rather than a wholesale adoption of the culture around us. Youth are also a the center of evangelism because families come back to church for the sake of their children, and youth bring more friends to church than adults by a wide margin.
I believe that God had created me to shepherd a church where non-Christians are coming to new faith, Christians are deepening their faith, God’s word is central, and youth work is valued. God has given me passion for these ministries and gifted me to lead His people to follow Him in these areas.
3. Comment briefly on your views as relates to: (Confine your answers to one page)
a. Spiritual giftedness
I believe that God has given the church spiritual gifts sufficient to accomplish His goals in the world. God gives different gifts to believers so that they may accomplish their calling in cooperation with the rest of the church. I believe that God still dispenses every gift mentioned in scripture for His purposes, and that no gift was dispensed for a reserved amount of time. Although God may still give any spiritual gift He desires, God has also closed the cannon and no spiritual gift from God will contradict scripture or cause division in the church. As an example, God may still give the gift of prophecy, but it is to communicate His word already revealed and not to produce new authoritative material equal with scripture. God may occasionally communicate with people through a thought, auditory voice, or dream, but these communications will neither contradict nor add to the cannon. I also believe that no gift is mandatory for a Christian, and a prideful comparison of gifts does not serve God, but only divides the church. As an example, the gift of tongues is often controversial because some claim all true Christians possess it, and some use it inappropriately in a distracting manner. Although there are negative things surrounding this gift, scripture both instructs us that gifts do not overwhelm our rationality, and that we are not to prevent others from practicing their gifts in an appropriate manner.
b. The charismatic movement
Because the charismatic movement can be defined as many different things, I both agree and disagree with aspects of it depending on the definition being used. I believe that the Holy Spirit continues to work through the church. I believe that God may still give any spiritual gift He pleases, which include gifts typically associated with the charismatic movement. However, I also believe that the cannon of scripture is closed and God no longer gives us information as authoritative as scripture, and that anything that contradicts scripture is not from God. God may communicate with us or work through us in a way that is not directly through our cognitive understanding of the Bible. However, that way would never contradict what we know from the scriptures. I do not believe that there is a separate blessing of the Spirit after conversion. I also do not believe that the scriptures teach that any gifts are evidence of conversion, or that any particular gifts are necessary to prove one’s faith. Although I do not believe that the gift of speaking in tongues is necessary for salvation, I also do not believe that the church should stop an individual from this practicing this gift if done appropriately according to 1 Corinthians 14:39. I do believe that the Father and the Son sent the Holy Spirit to the church, and because of this we need to be eager for His presence. Without God’s presence, the church cannot be. God has sent us the Holy Spirit and we should not turn Him away, but we should also not create a theology that interprets specific gifts from the Spirit as mandatory, or attributing gifts to the Spirit that are divisive or heretical.
c. Women in ordained office
I believe that the issue of women in ordained office is a difficult and complicated issue, and that devout Christians have legitimate reasons that have convinced them of their interpretation. From my reading of the whole of scripture, I have become convinced that God charged both men and women to lead His church. I have come to this conclusion for two main reasons including women in leadership roles throughout scripture, and exegetical issues surrounding the passages often interpreted as God excluding women from ordained ministry.
Throughout scripture, the majority, but not the entirety of people in authority are men. Major examples of women in leadership and teaching positions include Miriam who was undisputed as a prophetess, Deborah who was undisputed as a judge, Priscilla who instructed Apollos in his preaching ministry. All of these women were either leaders of God’s people or directly involved with the preaching of God’s word. None of them were condemned in scripture for these acts and it is apparent that God Himself gave them these tasks. It seems logically inconsistent that God would both use some women to lead and have authority over His people, and forbid them from doing so. These examples of women in leadership were neither rebuked or punished for their actions, which we would expect if they were sinning by leading. A comparison is sometimes made to God commissioning only the Levites to move His arc, but we see judgment breaking out against those non-Levites who take up this task. We see no such judgment of women taking up the task of leading God’s people. We also see in Acts 2:17-18 a gender inclusive promise of prophetic giftings which I believe are inherent in leading and teaching.
Although I do believe that God calls both men and women to ordained ministry, it is not difficult to see the argument against women’s ordination. Passages like 1 Tim 2 at an initial reading appear to be a very clear argument against women being ordained. However, upon further exegesis the situation Paul was writing to explains how the message may have been understood. 1 Tim 2:14 at first seems to be an argument that inherent in feminine nature is gullibility, but in the light of local ultra feminist cults the words have a different meaning. There was local teaching that women were superior to men, and that God created them first and put men into submission to them. This teaching would have been known in the church, and Paul corrects it because it is unbiblical. Women in that community were teaching heresy, which Paul was forbidding. There are also passages that use “he” to describe leaders, but using the masculine pronoun to mean both genders is commonplace in scripture and no reason to believe that those passages also preclude women from ordination.
d. Presbyterian connectional system
I believe that the Presbyterian style of government is both biblical and practical. Both the local offices and church hierarchy have biblical precedent. The office of elder is supported in the Old Testament in Numbers 11:16 where God commands Moses to bring elders to share ruling responsibilities. It is also seen in the New Testament in Titus 1:5 where he is charged to order the church and set up elders. The office of deacon is observed in Acts 6 where the disciples appoint them over practical matters like food distribution so that they may fully devote themselves to the ministry of the word of God. We also see precedent for the Presbyterian system of presbyteries and general assembly. In Acts 15 we see an early presbytery going to an early general assembly in order to have a question answered. The authority in the answer was not simply for the presbytery asking the question, but was sent throughout the whole church.
I also believe that the Presbyterian connectional system is the best form of church government because it strikes a practical balance between the presbytery and the local congregation. The strengths of the presbytery include standards for ordination, accountability and care for pastors, and cooperation between churches when that best serves God’s calling for the church. The presbytery is best equipped to handle these important tasks, and the local body would struggle to perform all of these on its own. Although the presbytery is the best organization to handle these tasks, the system also grants an appropriate amount of liberty to local congregations. Local congregations may differ on non-essential doctrine and operate with a clear conscience. The local congregation also best knows the members and local community, and is free to operate the local ministry according to this knowledge. If God calls an individual congregation to work alongside another congregation, they may do so freely with a knowledge of what gifts God has granted them.
Narrative – continued Name: Dustin Leimgruber
4. Please respond to the following questions. If you answer “No” to any of these questions, briefly explain your position.
Size of Church Would Serve Have Served
A. Self Appraisal
The purpose of this form is to provide search committees with a view of how you see yourself. Your references will be receiving the same items to consider. Try to be as candid as possible and indicate as honestly as you can what you believe your capabilities are in ministry.
Identify a maximum of 12 ministry emphases that you believe best describe you and your current ministry. Obviously, you have more than these. Please try to identify those that are strongest as you are now carrying out your calling. Write the 12 numbers for the characteristics you believe are strongest in the blanks provided at the end of this list. An item not chosen should not be deemed an indication of weakness. Do not rank them.
Write no more than 12 numbers in the blanks at the end of this list.
B. Written References
As part of the Appraisal, you are also asked to choose five (5) persons who will take the “Appraisal Form” and give their response. We request that at least one of these respondents represent your current/last congregation and one your current/last Session. Please send the form and an envelope to each reference person, asking that they return the completed form to the Office of the Stated Clerk.
Norfolk, VA 23507
E-mail address: email@example.com
South Hamilton, MA 01982
E-mail address: firstname.lastname@example.org
Cincinnati, OH 45237
E-mail address: email@example.com
Middletown OH, 45044
E-mail address: firstname.lastname@example.org
C. Telephone References
Search Committees will contact the persons listed here for a personal interview. This will take place as part of the second stage of the process for calling a pastor, after the initial list has been narrowed. It is important to keep this list current – probably updating it every two years, or when you are actively interested in making a move.
In this list of references, please include a person who has been part of the Session of the current/last congregation during your tenure.
How long and in what relationship have you known this person?
I have known the Potters for two and a half years through the couples small group I lead on Gordon-Conwell's campus.
How long and in what relationship have you known this person?
I have known David for a year and a half. He is my pastor at North Point EPC.
How long and in what relationship have you known this person?
I have known Shawn for four years. He was a volunteer with the youth group I pastored in Monroe, Ohio.
Part VI: Background Disclosure
To the person completing these statements:
It was noted in the introduction to this Personal Information Form that the process of filling out this material “calls for honesty, effort, and commitment to open communication.” Congruent with the concern for ethical performance of ministry in the Evangelical Presbyterian Church, and openness about issues that are sensitive to functioning in the public role of a pastor in a congregation, you are asked to respond to the following statements. There is opportunity for explanation if you so desire.
To the Search Committee or Session of a calling church:
It was also noted that those receiving these Personal Information Forms for consideration “approach this information respectfully and prayerfully.” Any practice of routinely rejecting profiles on a perfunctory basis, without a complete and thoughtful review of the explanations offered by the candidate is strongly discouraged. The information presented here is meant to provide an occasion for open, honest dialogue.
This disclosure statement will only be shared with an interested congregation as part of the second phase of the search process.
1A. Have you ever been the subject of official discipline by a Session or Presbytery of the Evangelical Presbyterian Church where you pastored?
1B. Is any official disciplinary action pending at the present time?
1C. Have you ever been the subject of official disciplinary proceedings by another denomination that resulted in disciplinary action?
1D. Are any official disciplinary proceedings by another denomination pending at the present time?
Explanation of 1A – 1D:
2A: Has a civil lawsuit, criminal charge, or official ecclesiastical complaint been sustained against you for sexual discrimination, harassment, exploitation or misconduct, physical abuse, child abuse or financial misconduct?
Background Disclosure – continued
2B. Have you ever been convicted of a felony?
Explanation of 2A – 2B:
3A. Has your employment ever been changed because you attempted or actually engaged in:
exploitation or misconduct
3B. Has your employment ever been changed in order to avoid facing or to avoid being terminated because of charges of actual or attempted
exploitation or misconduct
Explanation of 3A – 3B:
I recognize that presbyteries are required to perform a background investigation on all individuals seeking candidacy or membership. I further recognize my responsibility to update this background disclosure in a timely manner should there be a change of status in any of the issues named above.
For Personal Information Form
Evangelical Presbyterian Church
You have received this reference form from a person who values your opinion. The material you provide will be placed with other materials to comprise the individual’s Personal Information Form for use in the Evangelical Presbyterian Church. The Office of the Stated Clerk encourages persons regularly to update or prepare a new Personal Information Form. Therefore, being asked to provide a reference does not necessarily imply that the person is interested in a change in position. Committees may use the material you provide in the future if the person seeks a change.
You are being asked to provide as clear a picture of this person as possible through a forced-choice checklist and an opportunity to comment. Indicate the qualities evidenced in this person’s ministry at this time as you have encountered them. Bear in mind that other congregations and/or ministries rely on the completeness and accuracy of the information that you provide.
For your information, the pastor for whom you are completing this reference form has signed the following statement of consent, which is on file at the Office of the Stated Clerk of the General Assembly:
I authorize the persons and entities, such as members of search committees of a prospective calling body or appropriate staff persons, to make inquiries regarding all statements contained in my Personal Information Form. I also authorize all persons referred to in the Profile as references, members of congregations I have served, or personal /professional colleagues to supply verification of the information provided in the Personal Information Form. I understand that such persons may comment on and state their opinions regarding all matters addressed in the profile, including without limitation, my background and character. To encourage such persons to speak openly and responsibly, I hereby release them from any claims or liabilities arising from their responses and comments if made in good faith and without malice.
When you have completed the information, please use the enclosed envelope to send it directly to:
Office of the Stated Clerk
Evangelical Presbyterian Church
17197 N. Laurel Park Dr., Suite 567
Livonia, MI 48152
Phone: (734) 742-2020 Fax: (734) 742-2033
E-mail : email@example.com
Reference for: _________________________________________________ Date: _______________________
Name of person providing reference (Please print): _________________________________________________
Signature of person providing reference: _________________________________________________________
How long and in what relationship have you known the above-named person? ____________________________
This part of the appraisal form is for you to identify the 12 strongest qualities in this person’s ministry as you have experienced it. There should be no assumptions that items not chosen are a sign of weakness in those areas. Choose no more than 12. Many more characteristics will be apparent to you. Please indicate the strongest qualities from those on this sheet by writing the numbers in the blanks provided at the end of this list. Do not rank the 12. Because of the variety of items, read through them before beginning to mark.
Write no more than 12 numbers in the blanks at the end of the list
_____, _____, _____, _____, _____, _____, _____, _____, _____, _____, _____, _____