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[Church Name]
Church Officer List 20___
Please use this form to list your church officers for the 20___ church year. A maximum of 14 officers’ listings can appear
on each page; other officers’ names will be placed on various mailing lists for use by Conference Departmental personnel.
Please note that officer listings shown with asterisk (*) are required information. If you area codes/phone prefixes have
changed, please be sure to list them. If directions to the church have changed, please update them at the end of this form.
Please TYPE OR PRINT ONLY names, addresses and zip codes and check for accuracy. Email your completed report to
or mail your list to
to arrive by , . Faxed reports
can be accepted if they are typed or printed. Fax to . Thank you for your prompt help.
Church Name: Phone#:
Street Address: Fax#:
City, State &
Zip:
Email: Website:
Attn: Mail Address:
(Use P.O. Box if valid: Large packages cannot be sent to post office box.)
Bulk Mail Address:
(Use street address only: Bulk mail cannot be sent to post office box.)
Sunday School beings at: Worship Service begins: Bilingual Services: We have regular mid-week
meetings on this day: At this time: Church Secretary: Email:
Position Name Address Phone# Email
Pastor* Home:
Cell:
Associate*
Pastor(s)
Home:
Cell:
First* Elder Home:
Cell:
Head Deacon Home:
Cell:
Clerk* Home:
Cell:
Treasurer* Home:
Cell:
Children’s*
Ministries
Home:
Cell:
Community*
Services Dir.
Home:
Cell:
Education
Secretary
Home:
Cell:
Health*
Ministries
Home:
Cell:
Men’s*
Ministries
Home:
Cell:
Women’s*
Ministries
Home:
Cell:
Prayer*
Ministries
Home:
Cell:
Communicati
on* Leader
Home:
Cell:
[Church Name]
Church Officer List 20___ (Page 2)
Religious*
Liberty
Home:
Cell:
Risk
Managemt.*
Home:
Cell:
Sunday*
School Supt.
Home:
Cell:
Stewardship
Leader
Home:
Cell:
Youth*
Leader
Home:
Cell:
Pathfinder*
Leader
Home:
Cell:
Adventurer*
Leader
Home:
Cell:
Personal
Min* Leader
Home:
Cell:
Reconnecting*
Ministries
Coordinator
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Home:
Cell:
Please update directions to your church:
Please double check the directions to your church and make the necessary corrections! The directions should begin
from the Conference office to your church.
Name of Person Filling Out this Form:
Phone Number:

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Church officerslist

  • 1. [Church Name] Church Officer List 20___ Please use this form to list your church officers for the 20___ church year. A maximum of 14 officers’ listings can appear on each page; other officers’ names will be placed on various mailing lists for use by Conference Departmental personnel. Please note that officer listings shown with asterisk (*) are required information. If you area codes/phone prefixes have changed, please be sure to list them. If directions to the church have changed, please update them at the end of this form. Please TYPE OR PRINT ONLY names, addresses and zip codes and check for accuracy. Email your completed report to or mail your list to to arrive by , . Faxed reports can be accepted if they are typed or printed. Fax to . Thank you for your prompt help. Church Name: Phone#: Street Address: Fax#: City, State & Zip: Email: Website: Attn: Mail Address: (Use P.O. Box if valid: Large packages cannot be sent to post office box.) Bulk Mail Address: (Use street address only: Bulk mail cannot be sent to post office box.) Sunday School beings at: Worship Service begins: Bilingual Services: We have regular mid-week meetings on this day: At this time: Church Secretary: Email: Position Name Address Phone# Email Pastor* Home: Cell: Associate* Pastor(s) Home: Cell: First* Elder Home: Cell: Head Deacon Home: Cell: Clerk* Home: Cell: Treasurer* Home: Cell: Children’s* Ministries Home: Cell: Community* Services Dir. Home: Cell: Education Secretary Home: Cell: Health* Ministries Home: Cell: Men’s* Ministries Home: Cell: Women’s* Ministries Home: Cell: Prayer* Ministries Home: Cell: Communicati on* Leader Home: Cell:
  • 2. [Church Name] Church Officer List 20___ (Page 2) Religious* Liberty Home: Cell: Risk Managemt.* Home: Cell: Sunday* School Supt. Home: Cell: Stewardship Leader Home: Cell: Youth* Leader Home: Cell: Pathfinder* Leader Home: Cell: Adventurer* Leader Home: Cell: Personal Min* Leader Home: Cell: Reconnecting* Ministries Coordinator Home: Cell: Home: Cell: Home: Cell: Home: Cell: Home: Cell: Home: Cell: Home: Cell: Home: Cell: Home: Cell: Home: Cell: Home: Cell: Home: Cell: Home: Cell: Please update directions to your church: Please double check the directions to your church and make the necessary corrections! The directions should begin from the Conference office to your church. Name of Person Filling Out this Form: Phone Number: