PSC Members List [Commissioned Minister]

The Christian Church (Disciples of Christ) of Mid-America
Pastoral Support Committee
List of Members

This form is utilized by a Commissioned Minister to document the Names and Contact Information for all Members of their Pastoral Support Committee (PSC).

This Form will be stored in the Commissioned Minister's clergy file and made accessible for review by their Regional Commissioned Ministry Team (CMT).

Please conatct the Ministry Associate in the Springfield Regional Office at sgf@ccmadisciples.org should you have any questions. Thank you!

Date*

Date

Commissioned Minister's Name*

First NameLast Name

Commissioned Minister's Email*

example@example.com

Congregational Elder

Congregational Elder: Name

First NameLast Name

Congregational Elder: Email

example@example.com

Congregational Elder: Phone Number

Please enter a valid phone number.

Congregational Member #1

Member #1: Name

First NameLast Name

Member #1: Email

example@example.com

Member #1: Phone Number

Please enter a valid phone number.

Congregational Member #2

Member #2: Name

First NameLast Name

Member #2: Email

example@example.com

Member #2: Phone Number

Please enter a valid phone number.

Congregational Member #3

Member #3: Name

First NameLast Name

Member #3: Email

example@example.com

Member #3': Phone Number

Please enter a valid phone number.

Commissioned Ministry Team (CMT) Member

CMT Member: Name

First NameLast Name

CMT Member: Email

example@example.com

CMT Member: Phone Number

Please enter a valid phone number.

Additional Comments/Notes