Pastors Information Review Form

You are here:

Home
Pastors Information Review Form

Please use the information form below to update your records with the Association by Friday, April 4, 2025

Fields marked with an * are required

Today's Date (MM/DD/Year) *

First Name *

Last Name *

Pronouns

Mailing Address (Street, City, State, ZIP) *

Preferred Email Address *

Work Email Address (if different than preferred)

Preferred Telephone Number *

Work Telephone Number (If Different Than Preferred)

Emergency Contact Name and Telephone Number *

Date of Birth *

Date of Ordination, Licensing or Commissioning *

Name of Ministry Setting (if retired, type n/a) *

Date Service Began *

Address of Where You are in Ministry (Include City, State, and ZIP Code) *

Your Current Status with Living Water Association (Select One) *

Your Current Position (Select One) *

Name of the Congregation and City Where Your Membership is Located *

Date of last Healthy Practices attendance *

How have you maintained your covenantal relationship with the United Church of Christ during the past year? Please check all that apply: *

Attended an Association meeting
Attended the Conference Annual Meeting
Participated in OCWM and other special offerings of the UCC
Will attend General Synod as a visitor or delegate (voting/non-voting)
Served on an Association/Conference/National UCC committee or board
Other

If you checked "Other", please describe:

Please check all that apply:

I am planning to retire from active ministry within the calendar year
I would like to be a part of a Community of Practice
I would like to attend a group meet & greet with the Transitional Association General Minister
I would like to have a one-on-one conversation with the Transitional Association General Minister

Any comments or information you would like to share?

Recaptcha v2

If you are a human seeing this field, please leave it empty.

Facebook page opens in new window Instagram page opens in new window YouTube page opens in new window

960 Portage Trail Cuyahoga Falls, OH 44221-3048 • Phone: 330-940-2220 • Fax: 330-940-2250 • office@livingwaterone.org
Office Hours: 8:30am-4:30pm Monday - Friday

Website by Ohio Web Technologies

Go to Top

Home
Resources
Ministries
Faith in Action
Leadership
Registrations & More
Give

Search: