Regional Minister Report Form

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

This form documents an initial Conversation or Meeting between a Mid-America Regional Minister and a Candidate for Ministry interested in pursing Commissioning or Ordination with the Christian Church (Disciples of Christ) of Mid-America.
Date of Meeting*

MonthDayYear
Date
Candidate's Name*

First NameLast Name
Candidate's Email*
example@example.com
Regional Minister*

Paul KochRon RoutledgePhil SniderDavid WoodardOther
Regional Minister's Email*
example@example.com
Meeting was Conducted:*

In-PersonPhoneZoom
Process Candidate is Pursuing:*

Ordination - Seminary TrackOrdination - Apprentice TrackCommissioningRecognition of StandingUCC Partner StandingOther
Candidate's Sponsoring Congregation*
Candidate's Supporting Congregation (if known)
Does Candidate already have a Mentor?*

YesNoOther
Mentor's Name*

First NameLast Name
Meeting Details
Meeting Summary:*
Please summarize in detail the conversation you had with the Candidate.
Affirmations:*
Recommendations/Next Steps:*
Please explain in detail your recommendations for the Candidate, and/or including their next steps as they explore the Commissioning/Ordination process.
Comments/Notes:
As the Regional Minister, I hereby submit this completed form to Candidate for approval.*

Clear
Should be Empty: