2022 MINISTRY SERVICE REPORT

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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.

FIRST Name *

LAST Name *

Primary Email *

Cell Number *

Home - Street Address *

Same as Last Year

Other:

City *

Same as Last Year

Other:

State *

Same as Last Year

Other:

Zip Code *

Same as Last Year

Other:

Spouse's Name

Church/Ministry NAME - Currently Serving *

Church/Ministry CITY- Currently Serving *

When did you start serving at your current church or ministry *

CREDENTIAL *

ORDAINED

LICENSED

MINISTERIAL STUDENT

COMMISSIONED LAY

COMMISSIONED MINISTER

LICENSED LAY

Other:

Pastoral/Lay Title or Position - currently serving *

Senior/Solo Pastor

Associate Pastor

Assistant Pastor

Children's Pastor

Connection's Pastor

Discipleship Pastor

Retired

Reserve

Without Appointment

Youth Pastor

Administrative/Technical

Other:

Additional Position Clarification

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