WaPac District Church of the Nazarene

2014 ANNUAL REPORT OF ORDAINED MINISTER OR LICENSED MINISTER

Manual 403.1, 426.6, 436.3

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(This report is to be completed by ministers not currently serving in a senior pastor position).

Minister:


First Name	Last Name

Spouse:


First Name	Last Name

Home Mailing Address:

Phone:

Phone Number

Cell phone:

Phone Number

Email:

Email Address

Local Church Membership:

Do you wish to be placed on the WaPac District pulpit supply list?

Select one

Yes
No

Ministerial Status:

Select one

Ordained Elder
Ordained Deacon
Licensed Minister

Indicate your ministerial role for the coming year (for classifying you correctly in the District Journal):

Select all that apply

If "Other", please indicate role:

In what ways have you supported the Church of the Nazarene?

Completed by:


First Name	Last Name

Date:

Click in box to select date

* required