You can always press Enter⏎ to continue
2025 Congregation Information Form
1
2025 Congregation Information Form
Due Date:
March 1, 2025
Previous
Next
Submit
Press
Enter
2
Completed By
*
This field is required.
First and Last Name:
Please enter your email:
Previous
Next
Submit
Press
Enter
3
Congregation Information
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Congregation Name:
Congregation Email:
Congregation Phone:
Congregation Address:
Congregation Fax:
City, State and Zip Code:
Congregation Social Media: (YouTube, Facebook, Twitter, etc...)
Congregation Website:
Previous
Next
Submit
Press
Enter
4
Clergy-in-Charge
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Please Select
Priest
Deacon
Please Select
Please Select
Priest
Deacon
Ordination Order:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
5
Senior Warden
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
First and Last Name:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
6
Junior Warden
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
First and Last Name:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
7
Treasurer
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
First and Last Name:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
8
Bookkeeper
(If this is a person other than the Treasurer)
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
First and Last Name:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
9
Clerk
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
First and Last Name:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
10
Administrator/Secretary
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
First and Last Name:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
11
Youth Ministry Primary Contact
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
First and Last Name:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
12
Children's Ministry/Sunday School
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
First and Last Name:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
13
Employee Benefits Administrator
(Responsible for administering employee benefits and/or reviewing and approving insurance bills)
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
First and Last Name:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
14
Do you have any additional Clerics to add?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
15
How many Clerics do you need to add?
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
Previous
Next
Submit
Press
Enter
16
Cleric #1
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
17
Cleric #2
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
18
Cleric #3
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
19
Cleric #4
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
20
Cleric #5
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
21
Cleric #6
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
22
Cleric #7
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
23
Cleric #8
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
24
Cleric #9
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
25
Cleric #10
Note: It is important that the correct information is provided for each individual for our records. Please do not duplicate all entries.
Title, First and Last Name:
Ordination Order & Position:
Phone Number & Phone Type (home, cell, or work):
Email Address:
Mailing Address:
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is this person an employee
City, State and Zip Code:
OPTIONAL - Spouse/Partner's Name:
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
25
See All
Go Back
Submit