Pastor Leaving Congregation
To be completed by the COM Transition Team Representative.
Name of Minister
*
First Name
Last Name
Status Change
*
Please Select
Going to Another Presbytery
Going to HRP Congregation
Retiring
Member-at-Large
Validated Ministry
Receiving Presbytery
HRP Congregation
Last Date of Service
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Contact Information
(In Pastor's New Position)
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.
Format: (000) 000-0000.
Name of Transition Representative
*
First Name
Last Name
Signature
*
Please verify that you are human
*
Save
Submit
Should be Empty: