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