Connect Empower Engage

Information Update Form

NOTE: This form is best completed on a computer. Authorized Clergy of the Florida Conference are asked to complete the Information Review at this time. Persons with ministerial standing in the United Church of Christ are obligated to participate in a Conference's processes of support and accountability in order to maintain standing.” (United Church of Christ Manual on Ministry, Section 2:6.) This document is a means for 1) Authorized Ministers with standing to participate in the Information Review in order to uphold the covenantal relationship with their Conferences and Associations 2) For Authorized Ministers who are Exempt to complete to ensure we have accurate and current information on file. Thank you.

Phone

This field is for validation purposes and should be left unchanged.

Today's Date

Name(Required)

First Last

Preferred Pronouns

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Personal Email Address(Required)

Work Email Address (if retired re-enter personal email address)(Required)

Preferred Telephone Number(Required)

Emergency Contact Name(Required)

Emergency Contact Telephone Number(Required)

Date of Birth(Required)

Date of Ordination or Licensure. If unknown please enter 1/1/2025(Required)

Name of the Congregation or Setting where you are in Ministry (if retired type n/a)(Required)

Date Service Commenced (If retired, or currently not serving in a Ministry Setting, enter 1/1/25)(Required)

Address of Where you are in Ministry If retired please enter your home address)(Required)

Street Address City State / Province / Region ZIP / Postal Code

Date of last Boundary Training(Required)

Your current status with the Florida Conference(Required)

Your Current Position (if retired type n/a)(Required)

Name of the Congregation and City Where your Membership is held(Required)

How have you maintained your covenantal relationship wit the UCC during the past year? Please check all that apply(Required)

Attended Annual Gathering

Participated in OCWM and other special offerings

Attended General Synod as visitor or delegate

Serve on a Conference Board or committee

Subscribe to Sunshine Connection for updates from the Conference

Other

Please check all that apply

I am planning to retire from active ministry within the calendar year

I am interested in joining a Community of Practice

I would like time for a conversation with Conference Staff

Is there any other information you'd like the Conference Staff to know?

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