ANNUAL REPORT OF ORDAINED MINISTER OR LICENSED MINISTER

ANNUAL REPORT OF ORDAINED MINISTER OR LICENSED MINISTER
(Not submitting a pastor’s, evangelist’s, or retired minister’s report form) Manual 524.8, 530.9
Name*
Address*
City*
State*
Zip*
Phone*
Format: (000) 000-0000.
Email*
example@example.com
District*
Local Church Membership*
Ministerial Status*

Ordained Elder:Ordained DeaconLicensed
Indicate your approved ministerial role for the coming year (for classifying you correctly in the District Minutes):
*

Pastoral Service – Full-timeChaplainPastoral Service – Part-timeUnassignedEducatorMissionaryGeneral Church AssignmentInterdenominational/Special ServiceStudentChristian Education MinisterDistrict Assignment – Full-timeDistrict Assignment – Part-timeDistrict Interim Assignment – Full-timeDistrict Interim Assignment – Part-timeOther
Times preached*
Calls made*
Total number of lifelong learning hours* completed this year*
* 20 hours of lifelong learning is the minimum expectation each year. (Manual 521.6)
In what ways have you supported the Church of the Nazarene?*
Date*

MonthDayYear
Date
Signed*
Mail to District Secretary at least 30 days prior to your District Assembly.
Should be Empty: