Clergy in Specialized Ministries, Retired Clergy, and Non-Parochial Clergy, Canonically Resident in the Diocese of Vermont

Clergy in Specialized Ministries, Retired Clergy, and Non-Parochial Clergy, Canonically Resident in the Diocese of Vermont
2021 Report
Name

First Name Last Name
Priest or Deacon?
Are you retired?
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Primary Phone Number

Area Code Phone Number
Preferred email
example@example.com
Do you wish to be on the Clergy Supply List for the Diocese of Vermont
Date of Canonical Residence:
Occupation or Profession if not retired
Usual Place of Worship
Summary of Ministry for 2021 (include out of state also and number of each
Celebration of Holy Communion
Assisting at Holy Communion
Morning and Evening Prayer Services
Sermons
Baptisms
Marriages
Burials
Pastoral Counseling Sessions
Pastoral Visits
Comments
For Deacons: missional activities that do not fit in the above categories
If no reportable occasional ministry, please explain
Continuing Education in 2021
Documentation of Safe Church Training is required for you to officiate in the Diocese. It is a requirement that this training be renewed every five years. The renewal can be completed online.
Date of last training
Other Comments
Type Name in lieu of Signature
Date
Please complete and submit this report by February 1st, 2022.
Should be Empty: