Pastor Report Form

Pastor Report Form
Reporting Period
City of Convocation *
Reporting Date

MonthDayYear

Church & Fees
Reporting Church *
Pastor Church *
Representation Fee ($50.00) *
Secretary Love Offering Fee ($15.00) *
Membership Roll Call ($0.50 per member) — Number of Members *
Ministers & Deacons Roll Call ($1.00) — Number of Members *
Presider's Love Offering *
Tithes *
Total Funds Reporting *
Report Blanks (Totals)
ABYPU Total *
Brotherhood Total *
MDWG Total *

Missionaries Total *
Sunday School Total *
Womens Council Total *
Grand Totals *
Church Totals / Address
Church Totals / Address
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Multi-line address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Pastor Contact
Pastor *

First NameMiddle InitialLast Name
Phone *
Format: (000) 000-0000.
Church Phone *
Format: (000) 000-0000.

Please enter a valid phone number.
Diocese Finance Report (Counts)
Number of Members
Number of Elders
Numbers of Ministers
Number of Exhorters
Number of Deacons
Number of Junior Deacons
Number of Trustees
Number of Missionaries
Number of Senior Missionaries
Number of Social Missionaries

Number of Junior Missionaries
Number of Fellowship
Number of Fellowshiped
Number of Deaths
Number of Disfellowship
Number Left
Number of Water Baptism
Number of Spirit Baptism
Should be Empty: