WaPac District Church of the Nazarene

2014 ANNUAL REPORT OF RETIRED MINISTER

Manual 433-33.1

page 1 of 1

Minister:


First Name	Last Name

Spouse:


First Name	Last Name

Home Mailing Address:


Address

Address Line 2

City	State	Zip Code

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

Role Code:

Select one

RA (indicates that you were in an "assigned role" at the time of retirement)
RU (indicates that you were not in an "assigned role" at retirement)

The Church of the Nazarene is grateful for your years of ministry in official assignments. For those who refer to the Ministers' Roll for current records, this form is an annual address update.

The church is very interested in any report you may wish to write to your District Assembly concerning your present work (times preached, etc.) and service:

* required