Transfer of Standing

If you are needing to transfer your ministerial standing to the Mid-America Region from another (DOC) Region, please fill out and submit this form.

Minister's Information

Name*

Preferred Name

Minister PIN

Address*

Phone Number*

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Email*

Ethnicity*

Gender*

Date of birth

Congregation & City in which you are now serving

Date you began this ministry

Professional Code

Are you a new minister to the Christian Church (Disciples of Christ)*

Yes
This is for someone who has never had a ministerial record in the Yearbook.
No

Region from which you are transferring. (Choose option "blank" if you are creating a fist time record for a new minister.)*

Date of Ordination

Ordaining Region

Last Place of Service*

Do you wish to obtain ministerial standing with the Christian Church of Mid-America*

Continuing Education:

Most recent date of Boundaries Training

Location of training or trainer

Most recent date of Anti-Racism/Pro-Reconciliation Training

Location of training or trainer

According to our Continue Education Policy [COM 9] - Boundaries & Anti-Racism/Pro-Reconciliation training is required every 3 years.

Personal Disclosure Statement

Have you ever been charged with or convicted of a felony?*

Have you ever been charged with or convicted of any crime against children or other persons?*

Is there any other fact or circumstance in your background that should prevent you from being entrusted with the supervision, guidance, and care of children or youth?*

If the answer to any of the following questions is yes, please attach an explanation

I have read, understand, and will comply with the Ministerial Code Ethics and Continuing Education Policy. By typing my name in the signature line, I represent that all information supplied on this form is true and complete to the best of my knowledge.*

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