Report to the Presbytery of Denver Minister Members in Validated MINISTRIES and Ministers in Service Beyond the Jurisdiction of the Church Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (cell) * (###) ### #### Phone (work) (###) ### #### Email Address * Ecclesiastical Designation * Pastoral Counselor Campus Minister Teacher/Professor Chaplain Social Worker/Therapist/Counselor Missionary Evangelist Administrator Consultant Pastor Non-Profit Mid-Council/PCUSA Employer, if any: Employment Full Time Part Time Contract Your title, if any: Do you have a regular faith community? Please list/describe or spiritual practice. How do you see your current work as a ministry to the church? * If you are working in a church setting without a call or appointment by the Ministry Relations Committee, has the Ministry Relations Committee previously validated this ministry? Yes No Are you a parish associate? Yes No If yes to parish associate, where? Would you like to be added to the pulpit supply list? If yes, check all that apply. Preaching Sacraments (Communion and Baptisms) Moderate Session Meetings Weddings/Funerals No thank you. Are you currently serving on a Presbytery committee, commissioner or team? * Yes No If yes to serving on a Presbytery committee, commission or team, please list. If you are NOT currently serving on a Presbytery committee, commission or team, what experience or interest do you have? * i.e. Strategic planning, supporting, strengthening relationships, matching gifts and skills, oversight of financial investements, etc. Thank you!