Appendix 9 - Commissioned Minister Team Report

The Christian Church (Disciples of Christ) of Mid-America
RCOM Conversation Report Form

Appendix 17 is completed by any Member of the Regional Commission on the Order of Ministry (RCOM) to document a Conversation with a Candidate for Ordained Ministry. This includes all Candidates pursuing the Seminary Track to Ordination, Apprentice Track to Ordination, Commissioned Minister Track to Ordination, Recognition of Standing & Ordination, UCC Partner Standing, and/or Reinstatement of Voluntary Lapsed Standing. This Report Form creates a thorough record of the discussion, RCOM's affirmations, and RCOM's recommendations.

This completed Form will be stored in the Candidate's clergy file for future reference. Please contact your Ministry Associate in the Springfield Regional Office at sgf@ccmadisciples.org should you have any questions. Thank you so much for taking the time to complete this form!
Date of RCOM Conversation*

MonthDayYear
Candidate's Name*

First NameLast Name
Candidate's Email
example@example.com
Ordination Track Candidate is Pursuing*

Seminary Track to OrdinationApprentice Track to OrdinationRecognition of Standing & OrdinationUCC Partner StandingReinstatement of Voluntary Lapsed StandingCommissioned Minister Track to OrdinationOther
Type of RCOM Conversation Conducted*
Conversation was Conducted:*

via ZoomIn Personby Phone CallOther
RCOM Members Present
Regional Staff Present:*

Paul Koch, Regional MinisterMinistry Associate, Springfield Regional OfficeDavid Woodard, RCOM Coordinator & Associate Regional Minister Greater St. LouisJennifer Long, Associate Regional Minister for Disciples WomenAngela Williams, Associate Regional Minister for ARPRNoneOther
RCOM Class of 2024 Present During Conversation

Rhonda AldridgeChad McMullinTeresa GentryNone
RCOM Class of 2026 Present:*

Lillie GardnerSarah KlaassenMichael WilliamsTim WhitmoreNone
RCOM Class of 2028 Present:*

Janice LeggJimmy SpearLeslie LeSieurMichelle Scott-HuffmanNone
RCOM Class of 2031 Present:*

Brian KirkLina EddyBreona HawkinsNone
MDT and CMT Chairs Present:*

Charlie Bahn (SW CMT Chair)John Harwell (SE CMT Chair)David Avery (NE CMT Chair)Kate Titsworth (NW CMT Chair)Vicki Boyd-Kennedy (MDT Chair)None
RCOM Consultants Present:*

Michael Cassady (Legal Consultant)Leslie Robb LeSieur (Education Consultant)None
Guest(s) Also Present During Conversation
Please provide First & Last Names (if possible).
Conversation Details
Seminary or Apprentice Track: Has an ONT been established for this Candidate?*

YesNoIn ProcessOther
Has this Candidate been assigned a Mentor?*

YesNoIn ProcessN/A - not required by Regional MinisterOther
General Summary of the Entire Conversation
An overall summary of RCOM's Conversation with the Candidate (including all relevant details).
Summary of RCOM's Conversation with Candidate:*
A summary of RCOM's Conversation directly with the Candidate.
Summary of RCOM's Discussion Post Conversation with Candidate:*
A summary of RCOM's confidential discussion after meeting with the Candidate. If this will take place at a future time or on a future date, please indicate that time or date.
RCOM's Recommendations & Next Steps for Candidate*
Please be specific.
Comments/Notes (if applicable)
(if applicable)
Outcome of Candidate's Conversation with RCOM*
Other
Please explain RCOM's decision in detail.
Document Upload (if applicable)

Any typed or written Notes or other applicable Documents can be uploaded here, if applicable.
Cancelof
Reporting RCOM Member's Name (Reporter)*

First NameLast Name
Reporter's Email*
example@example.com
Reporter's Signature: I hereby submit this Appendix 17 Report on behalf of all RCOM Members Present during this Conversation with the Candidate.*

Clear
Should be Empty: