Minister Data Form
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Date of Ordination
*
-
Month
-
Day
Year
Date
Ordaining Body
*
Are you coming from outside of Hudson River Presbytery?
*
Yes
No
Transferring from "X" Presbytery
Old Position Contact Information
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
New Position Contact Information
Effective Start Date
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Additional Information
Name of Partner (if applicable)
First Name
Last Name
Do you have a doctorate?
*
Yes
No
Please verify that you are human
*
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Submit
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