CHURCH DATA UPDATE

CHURCH DATA UPDATE
Help Us Help You...

You may have recently been appointed as pastor of your local church or we are in the process of updating our files. Please take a few minutes to fill out this form completely (scroll to the end).

We want to make sure you and your church leaders receive communication from the State Office in a timely manner.

Thank you for your help.
Church Information:
Church Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail
Date Church Organized

MonthDayYear
Pastor's Information:
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail
Spouse's Name
Date of Birth

MonthDayYear
Anniversary Date

MonthDayYear
Children
Name
Date of Birth

MonthDayYear
Name
Date of Birth

MonthDayYear
Name
Date of Birth

MonthDayYear
Church Staff Information:
Church Clerk/Treasurer
Clerk's Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail
Women's Ministries President
WMP's Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail
Youth Pastor/Leader
YP/L's Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail
Girls Club Coordinator
GCC's Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail
Girls Club Leaders
Bluebell:
Joybell:
YLM:
Life Builders Coordinator
LB's Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail
Senior Adults Coordinator
SAC's Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail
*Please list the names and addresses of all other ministry positions in the church below.
Example: Ministers, Evangelists, Retired Ministers, etc.)
*Please list the names and addresses of all other ministry positions in the church below.
SCHEDULE OF SERVICES
Sunday School

:HourMinutesAM/PM Option
Morning Worship

:HourMinutesAM/PM Option
Directions to the Church from the State Office
Travel Time:

:HourMinutes
Miles:
Directions to and physical address for the Parsonage:
Notes
Should be Empty: