MINISTERIAL STANDING Application
CHRISTIAN CHURCH (DISCIPLES OF CHRIST) IN NORTHERN CALIFORNIA/NEVADA

Explanation: In keeping with The Design of the Christian Church, Regions are responsible for reviewing and certifying the Standing of all ordained and licensed Disciples clergy each year. When your Standing is acknowledged by the Region, your name is listed in the official Year Book & Directory of the Christian Church (Disciples of Christ) for the ensuing year. Ministers with Standing may call upon the Christian Church for services, support, references, relocation assistance, denominational endorsement, and scholarship aid.

PLEASE SUBMIT THIS FORM BEFORE PRINTING
 
Legal Name:
(if you go by a different name than your first name)

ORDINATION Date: Faith Tradition of Ordination:

 

Primary Ethnic Code
Secondary Ethnic Code
Other ethnic identity (if any):
 

I have read and understand the NEW Ministerial Code of Ethics at www.disciples.org. Yes No
I have read and understand the NEW Regional Policy on Clergy Ethics and Sexual Misconduct
(as contained in the Order of Ministry Policies posted on the ccncn.org website)		 Yes No

I participated in the following Christian Church (Disciples of Christ) events this past year (Check all that apply)

Annual Meeting       General Assembly       Earl Lectures       Ecumenical/Interfaith Gatherings
Other Gatherings:

Continuing Education opportunities in which I have participated during the past year
(include which Healthy Boundary Training Session attended)
Name of the event, # of contact hours, how the event enhanced your ministry, and would you recommend it to colleagues:

Name of event
Hours
How did this enhance your ministry?
Recommend
 

My church membership is with:
Town/City: Name of Congregation:

My participation includes:

Regular worship attendance Leadership (please list) Other (please explain)

CHOOSE YOUR PREFERRED MAILING ADDRESS:

Ministry Home

,
 
,
 

Emergency Contact: Relationship: Phone:

CLICK EARNED DEGREES: AA BA/BS MA BD M.Div D.Min Ph.D.
Other:

If you’ve done a doctoral dissertation/thesis/emphasis, please list it below:

Additional Comments:

Signature (Type in your name):