CAMPBELLSVILLE EMMAUS

Clergy Sheet

(CHECK ANY THAT YOU ARE WILLING TO WORK)

Click Here

Emmaus

YAC

Chrysalis

REC

Name

Date picker

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Email

Gender

Male

Female

Are You Currently In A Pastoring Position? (Ex: Lead, Associate, Youth, Assistant, Children) If so, fill in here:

Church You Currently Serve/Attend:

City/State of Church:

Person In Leadership Who we Are Able To Contact:

Phone Number:

Date Of Ordination/License:

Performed By:

Upon Request, Can You Provide A Copy Of The Ordination Certificate?:

Yes

No

Date Of Clergy Training:

Trained By:

Place Number of Flights/Walks You Have Attended:

Are You Currently Active In A Reunion Group?

Yes

No

Name Of Reunion Group, Place, and Time: