Pastoral Report Form

Presiding Prelate

Episcopal District

Date

MonthDayYear

Annual Conference

Presiding Elder

Name of Church

Church Address

City

State -Select

Province or Country other than the US

Church's Zip Code

Church's Email

District

Pastor

Pastor's Address

Pastor's City

Pastor's State -Select

Pastor's Zip Code

Pastor's Email

Church's Zip Code

THE NUMBERING OF GOD'S PEOPLE

Lay Members Reported Last Year

Preparatory Members?

Full Members?

Associate Members?

Affiliate Members?

Total Members Reported Last Year:

Members Added This Year

Converts?

Otherwise?

Total Lay Members Added This Year:

Members Lost This Year

Members lost by death?

Members lost by moving away?

Members lost by transfer?

Members lost otherwise:

Total Members Lost This Year:

Number of Members Reported This Year:

Preparatory members?

Full members?

Associate members?

Affiliate members?

Total Membership Reported This Year:

Membership Demographic Numbered by Age Group:

0-11

12-17

18-36

36-50

51-70

71+

What is the average number attending worship?

Number of Persons Baptized This Conference Year:

Infants baptized?

Children baptized?

Youth baptized?

Adults baptized?

Total Persons Baptized This Year?

THE MINISTRY OF GOD'S CHURCH, TRAINING CLASSES, BIBLE STUDIES, ETC.

Sunday School

Is there a Sunday School?

Number of Sunday School officers?

Number of Sunday School classes?

Number of Sunday School teachers?

Number of Sunday School students?

Christian Youth Fellowship

Is there a Christian Youth Fellowship?

Number of CYF Officers?

Number of CYF Members?

Young Adult Fellowship:

Is there a Young Adult Fellowship?

Number of Young Adult Fellowship Officers?

Number of Young Adult Fellowship Members:

Training Classes, Seminars, Workshops, Etc.:

How many local church training classes were held?

Name curriculum /resource used?

Number of persons enrolled?

Is there a Local Board of Christian Education?

Is there a Commission on Membership & Evangelism?

Is there a Board of Missions?

How Many Vacation Bible Schools (VBS) were held?

Name (VBS) curriculum /resource used?

How many students were enrolled?

Women's Missionary Society:

Is there a Women's Missionary Society?

The number of Women's Missionary Society members?

Lay Council:

Is there a Lay Council?

The number of Lay Council members?

Ministry to Men:

Is there a Ministry to Men organization?

Number of MTM members?

Other Ministries:

Please Describe Other Relevant Church Ministries.

Preparation for Ministry:

Number of Exhorters?

Number of Local Preachers?

Please list the Academic Attainment of Preachers Affiliated with this Charge:

Associate's Degree

Bachelor's Degree

Master's Degree

MDiv

DMin

PhD

FINANCES: THE STEWARDSHIP OF MONEY

LOCAL CHURCH STEWARDSHIP

Amount brought forward:

$

Amount raised this year:

$

Amount disbursed this year:

$

Balance in accounts:

$

Church indebtedness at beginning of the year:

$

Amount paid on interest:

$

Amount paid on principal:

$

Amount added to indebtedness:

$

Balance on indebtedness:

$

CHURCH PROPERTY STEWARDSHIP

The Church Building

Does your church own a building?

In whose name is the church building deeded?

Mortgage amount on church:

$

Are Mortgages current?

Appraised value of church:

$

Insurance amount on church:

$

Who is the carrier of your church insurance policy?

Is the premium paid to date?

The Parsonage

Does your church own a parsonage?

In whose name if the parsonage deeded?

Appraised value of parsonage:

$

Insurance amount on parsonage:

$

Who is the carrier of your parsonage insurance policy?

Is the premium paid to date?

Other Properties Owned

Description of other properties:

Estimated value of other church properties:

$

Number of other church properties:

Are properties deeded to the Church?

Number of church vans:

Support for the Pastor in Charge

Assessed salary of Pastor:

$

Amount paid:

$

Pastor's Pension (12% of Salary) assessed:

$

Amount paid Pastor's Pension:

$

Amount paid Presiding Elder's Pension:

$

ANNUAL CONFERENCE STEWARDSHIP

Apportionments Paid:

$

Apportionments Assessed:

$

Asking

$100 March

M.E.C.

Asking

EUTHU Banquet

Youth

Young Adults

Delegates Expenses

Amount of Pastor's or Church Pledge:

Last Day Offering:

Children's Day:

Other:

Additional Questions:

Do you pastor more than one church?

List Churches Names

How many members are registered voters?

What groups do you need to organize to help accomplish the churches sense of mission and vision?

What ministry is this church involved beyond its walls in the community?

What physical improvements are needed at this church? (List below)

a. How many sermons have you preached this year?

b. How many Bible studies or other training have you taught?

Are you active in Sunday School?

How often do you pray?

How often do you read and study the Holy Scriptures?

How many Church Conferences and Official Boards did you hold?

How many Quarterly Conferences were held by the Presiding Elder?

List your continuing education commitments:

Are you a tither?

What do you need to help you improve your Christian walk as well as your effective as a pastoral leader?

Do you keep a Sabbath for yourself (a day off each week just for you)?

List two hobbies you maintain:

List three major accomplishments in your ministry this conference year that you would like the conference to know about:

Pastoral Accountability (Did You Attend)? Check all that apply

Does your church have a written Mission Statement?

Does your church have a written Vision Statement?

Pastor's Signature

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Recording Steward

First NameLast Name

E-mail address of person filling out the form

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Type a question

4th Episcopal District Pastor's Report Form

Statistics

Missionary:

Laity:

Mission/Vision/Community Involvement/Physical Improvements:

Self-Care and Ministry with God's People

Signatures