Regional Minister Report Form

The Christian Church (Disciples of Christ) of Mid-America
Regional Minister
Report Form

This Report Form documents an initial conversation between a Regional Minister and an Individual interested in pursuing Commissioned or Ordained Ministry with the Christian Church (Disciples of Christ) of Mid-America.

This Report is for a:

Date of Meeting

Date

Date of Referral

Date

Individual's Name

First NameLast Name

Commissioned Minister's Name

First NameLast Name

Individual's Email

example@example.com

Commissioned Minister's Email

example@example.com

Regional Minister (RM) or Associate Regional Minister (ARM)

Regional Minister's Email

example@example.com

Meeting Held

Other

Process Individual is Pursuing:

Sponsoring Congregation

Supporting Congregation (if known)

Does this Individual already have a Mentor?

Other

Mentor's Name (if known)

First NameLast Name

Mentor's Email (if known)

example@example.com

Official Referral to RCOM

A detailed explanation for your referral of this Commissioned Minister to RCOM and why they should be considered for Ordination with the Christian Church (Disciples of Christ).

Meeting with Regional Minister

Meeting Summary

A summary of the conversation between this individual and Regional Minister.

Affirmations

Recommendations/Next Steps

Regional Minister's recommendations and next steps for this Individual as they explore the Commissioning or an Ordination process.

Comments/Notes (if applicable)

Any additional important or relevant information.

Important Documents (optional)

Any important Documents related to the Individual's interest in the Commissioning or Ordination process, including a Resume or Emails. (This is optional.)

Signature of Regional Minister: This completed form will be emailed to the Individual for Approval.

Signature of Regional Minister: This completed form will be emailed to the Commissioned Minister for Approval.