ONLY FILL THIS OUT IF YOU DID NOT FILL IT OUT IN 2020 or 2021. This form is to be filled out by all Ordained, Licensed, Credential Lay and Ministerial Students of the NC EAST DISTRICT.
This information is provided to the Denomination as an official record of your service and credentialed status as a minister or student of The Wesleyan Church. Thank you.
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FIRST Name *
LAST Name *
Primary Email *
Cell Number *
Home - Street Address *
City *
State *
Zip Code *
Spouse's Name
Church/Ministry NAME  - Currently Serving *
Church/Ministry CITY- Currently Serving *
When did you start serving at your current church or ministry *
Pastoral/Lay Title or Position - currently serving *
Additional Position Clarification
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