Christian Church (Disciples of Christ) in Georgia 2025 Request for Renewal of Standing for Ministers Ministers desiring to maintain their standing in the Georgia Region need to complete and return this form by January 31, 2025. This form is for ALL commissioned and ordained clergy in the Christian Church (Disciples of Christ) in Georgia. New Instructions this year: If you completed and returned your Renewal of Standing for 2024 and received your annual Clergy ID card, and your basic information has not changed during 2024, you are welcome to fill in your name below and then skip forward to the questions beginning at the top of page 3. If you did not return a Standing Form and receive a Clergy ID card for 2024, you must fill out the whole form. Should you have any questions, please contact Ja'Lisa Jarvis, Administrative Assistant, to assist you at 478.743.8649 or jalisa@gadisciples.org. Thank you!

Secondary Phone Number, if any:

In the Christian Church (Disciples of Christ) in Georgia, I serve as:

Commissioned Active: (Title/Form of Ministry)

Ordained Retired Inactive: Please skip to the bottom of the last page, sign, and date.

Commissioned Retired Inactive: Please Skip to the bottom of the last page, sign, and date.

by General Commission on Ministry (GCOM)

I currently serve as: (as designated by GCOM; if serving in multiple ministerial positions, select primary one for reporting to Year Book):

Chaplain - Federal/Non-federal (circle one) Student Chaplain Minister of Recognized Congregation Associate Minister

Disciples Minister serving non-Disciples Congregation Minister of Counseling Bi-Vocational or other employment while

The Christian Church (Disciples of Christ) seeks to be a pro-reconciling/anti-racist church. To that end, we seek to maintain an understanding of the diversity of the servants who are leading the church in various ministries. Please mark the ethnicity choice(s) appropriate for you.

European Descent Middle Eastern

I have completed Healthy Boundaries for Clergy training: Yes No

I have completed diversity and/or anti-racism training. YesNo

The following questions, to the end of form, should seeking Renewal of Stan

Certification for ministry includes participation in "programs of study, growth, and renewal" (Theological Foundations and Policies and Criteria for the Ordering of Ministry: Section 11. F.2. b.ii Indicate programs in which you have participated in the past 12 months (please check ALL that apply):

Personal Spiritual Retreat Clergy Retreat Ecumenical events

National Convocation Outdoor Ministries

General Assembly Regional Assembly Youth, Adult, or other church camp experience

Obra Hispana Clergy Connections Upgrade Thursday

List journals or books you have read or other programs of study you have pursued this year, especially those you recommend:

Passions, Interests, and Demonstrated Experience (check as many as apply):

Commission on Ministry Ecumenical Dialogue Creation Care/Green Chalice

Interfaith Dialogue Justice/Peace Leadership Marketing and Communications New Church Ministries

Rural Church Leadership Social Media/Public Relations Teaching Disciples History/Polity Children/Youth/Young Adult Leadership Curriculum Development Conflict Resolution

What forms of self-care do you regularly follow, e.g., exercise, spiritual retreats, vacations?

What suggestions do you have for ideas/ways/programs that would strengthen the Region or better serve congregations and clergy?

I affirm that the information I have provided is accurate. That it is my responsibility to read, to understand and to abide by the policies outlined in the Policies and Criteria of the Order of Ministry in the Christian Church (Disciples of Christ) in the US and Canada, Ministerial Code of Ethics and The Policy and Procedures of the Christian Church (Disciples of Christ) in the Georgia Region.