Central Rocky Mountain Region, Christian Church (Disciples of Christ) Ministerial Request for Standing 2025 - In-Active Clergy
(Ordained, Commissioned, Retired Active)
Please return forms by December 4, 2024.  Incomplete forms will not be processed and will delay your standing for 2025
Email *
Last Name *
First Name *
Middle Name
For Year Book Reporting Ordained Retired Inactive *
Home Address *
Preferred Mailing Address (If different from Home)
Phone Number (Mobile) *
Phone Number (Work) *
Phone Number (Home) *
Email *
Employment

 *
Required
Employment if you checked that you are engaged in ministry outside your congregation of membership, please let us know where.  (If you are not employed in ministry outside your congregation please type N/A.)

 *
Church where you currently hold membership (must be in this region to hold standing in this region) *
Are there particular challenges or joys that you wish to share? *
I understand that this form will be shared with the Committee on Standing for the CRMR, the CRMR Regional Minister, and CRMR Staff as necessary. *
I have read and affirm my Ministerial Code of Ethics.  You can access your Ministerial Code of Ethics at this link.   *
I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.  (Type your name in the box below).
 *
A copy of your responses will be emailed to the address you provided.
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