Bishop's Report Form

Bishop's Report Form

Reflecting on 2022
Please help the NC Synod be church together more effectively by completing this form by March 31, 2023.
Name

PrefixFirst NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender

FemaleMaleNon-binary
Leader Key
You may now save your work and finish later. Click the "Save" button below or on subsequent pages.

Page 2
Ordination/Consecration Date

MonthDayYear
Baptismal Date

MonthDayYear
Marital Status
Spouse Date of Birth

MonthDayYear
Date
Name of Spouse

PrefixFirst NameMiddle NameLast Name
Home Postal Address

PO Box or Street Address

Street Address Line 2

CityState

Zip Code
Mobile Number

Area CodePhone Number
Home Number

Area CodePhone Number
Work Number

Area CodePhone Number
Personal Email
Professional Email
(at your employer)
Preferred Phone

WorkMobileHome
Preferred E-mail

PersonalProfessional
May we send personal text messages to your mobile phone?

YesNo
Please list any children you may have:
Enter children with DoB. Also anything else that would be pertinent.
My official roster status is:
(If your status is Retired, you will skip to page 6 when you click "Next".)

Page 3
Your Call
What is the current congregation or organization to which you are called.
Name, City
Are you open to discuss the possibility of a change of call?

YesNo
If so, is your request urgent?

YesNo
How are you doing?
What are the joys and the challenges from your life over the past year?
The most significant events/accomplishments in my life and/or ministry this past year were:
My primary goal(s) in ministry and/or life this year is/are:
Are you in spiritual direction, coaching, or counseling?

YesNo
If so, what insights have you garnered?

Page 5
Needs
What area of the Wholeness Wheel needs the most attention from you in 2023?

(Wholeness Wheel link)
My hope in 2023 is to focus on this Wholeness Wheel area.
What I need most from the NC Synod staff is:
What my congregation needs most from the NC Synod staff is:

Page 6
For Retired only
(others click "Next" to continue on next page)
Personal Church Membership
Short Name, City
What pastoral ministry were you invited to provide this past year? Did you enjoy it?
What insights into church life, based upon your experience, would be helpful for the bishop's consideration?

Page 7
All fill in this page
I want to make sure my bishop knows:
What excites you on a synod or churchwide level?
Answer here
Are there individuals in your congregation with gifts for rostered ministry? Please list their name, their gifts, and their contact info.
Type Name, E-mail, Phone for each
Are there individuals in your congregation that you would recommend to serve on a synod committee or task force? Please list their name, committee of interest, and their contact info.
Type Name, Gifts, E-mail, Phone, Team
Find more information about committees and ministry teams here!
How might we pray for you in 2023?
You're done. Click the "Submit Report" button to finish.
Should be Empty:

Your Call