Annual Report of Retired Minister

ANNUAL REPORT OF RETIRED MINISTER
Date

MonthDayYear
Date
Name (If your name is not listed please choose "Not Listed" located at the bottom of the list)
Please complete this form which will be sent to the District Secretary
Name (First and Last)*

District
Local Church Membership*
Year voted retired status by District Assembly*
By which district*
Role Code (RA indicates that you were in an assigned role "at the time of requesting retired relation or at the normal age of retirement"; RU indicates that you were not "in either of the above situations" at the time of retirement
Role Code*
The Church of the Nazarene is grateful for your years of ministry in official assignments. For those who refer to the Roster of Ministers for current records this card is an annual address update.

The church is very interested in any report you may wish to write to your District Assembly concerning your present work (times preached, etc and service. Use the remainder of this sheet for this or include your report on your own stationery.
Please share any reporting you may wish to share
Full Name (First and Last)
District Secretary
Date

MonthDayYear
Date
District Superintendent
Date

MonthDayYear
Date
Should be Empty: