OHIO YD LEADERSHIP CONTACT CARD
We are so excited to have you as a part of this team leading the next generation of the Church of God!
Please Fill Out the Form Below So That We Can Continue to Connect, Resource and Equip You In Your Ministry!
Name
*
First Name
Last Name
Email
*
example@example.com
Cell
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
-
Month
-
Day
Year
Date
Picture (JPG)
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Shirt Size
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Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
Adult 3X-Large
Adult 4X-Large
Church Name
*
Pastor's Name
*
Ministry Address (Church Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ministry Position (Please Select All That Apply)
*
Youth Pastor (Full Time)
Youth Pastor (Bi-Vocational)
Youth Pastor (Volunteer)
Children's Pastor (Full-Time)
Children's Pastor (Bi-Vocational)
Children's Pastor (Volunteer)
Youth Leader
Children's Leader
Other
If "OTHER", Please Specify
Are You Credentialed?
*
Exhorter/Licensed
Ordained
Ordained Bishop
Not Credentialed
When Does Your Ministry/Ministries Meet Regularly?
Spouse's Name (If Applicable)
First Name
Last Name
Spouse's Birth Date (If Applicable)
-
Month
-
Day
Year
Date
Spouse's Email (If Applicable)
example@example.com
Spouse's Cell (If Applicable)
Please enter a valid phone number.
Format: (000) 000-0000.
Children (Names & Ages) (If Applicable)
Is There Anything Else That You Would Want Us To Know?
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