PERSONAL PROFILE DATA SHEET
NAME_________________________________________ MINISTERIAL #_________________
DATE OF BIRTH ___________________ DATE CREDENTIALED (COG)________________
TELEPHONE NUMBER: _______________________ CELL __________________________
Are you available for text messaging? YES NO
Do you have a Facebook Account? YES NO Twitter Account? YES NO
E-MAIL ADDRESS: ________________________________________________
NAME OF SPOUSE __________________________ DATE OF BIRTH___________________
ANNIVERSARY DATE__________________________________________________________
IF PASTOR, NAME OF CHURCH_________________________________________________
PHYSICAL ADDRESS OF CHURCH_______________________________________________
CHURCH WEBSITE_____________________________________________________________
Minister of Christian Education
MINISTERIAL RANK: Exhorter
Minister of Music
Ordained Minister
Ordained Bishop
RECORD OF PASTORATES
(Begin with present position)
CHURCH
STATE TENURE REASON FOR LEAVING
(CONTINUE ON BACK IF NECESSARY)
List various standing boards and committees on which you have served:
BOARD
YEARS
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
List any special ministries or emphasis such as Music, Children, Youth, etc.
________________________________________________________________________________
Signature ____________________________________Date____________________
This questionnaire will go into your private file in the state office for use by the Administrative Bishop.