Biographical Information Form
Biographical Information Form
Email address *
First Name *
Last Name *
Street Address
Address Line 2
City
State
Zip
Phone (Office)
Phone (Home)
Phone (Cell)
Date of Birth
MM
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DD
/
YYYY
Place of Birth
Information about Childhood
I would prefer to focus my efforts on a task force related to (describe)
Date of Ordination
MM
/
DD
/
YYYY
Ordained by
Retired by
Education: College/University (Name of Institution, Years, Degrees)
Education: Seminary/Seminaries (Name of Institution, Years, Degrees)
Education: Other Graduate Degrees (Name of Institution, Years, Degrees)
Date received by Presbytery of the Cascades
MM
/
DD
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YYYY
Churches Served (Name, Place, Position, Years)
Other Church Employment
Secular Employment
Spouse Name
Date of Anniversary
MM
/
DD
/
YYYY
Members of Family/Relationship
Positions Held in Denomination (Presbytery/Synod/General Assembly
Commissioner to GA (Years)
Commissioner to Synod (Years)
Services with Cascades Presbytery Committees/Dates of Service
Ecumenical Service
Special Honors in Church or Secular Work
Hobbies or Special Interests
Author/Writer of Published Works
Other Information that Might be of Interest
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