Ministers Activity Report 2024

General Information

District* NED SCD WCD WID

Your Name*

Your preferred name

Date of birth*

Spouse name

Spouse Date of Birth

Children still at home (names and date of birth)

Your Address for the Coming Year

Street / P.O. Box*

City / State / Zip*

Cell Phone

Home Phone

E-Mail address*

Do you wish to remain credentialed with CCCU this year?* Yes No

Ministry Information

My ministry for the past year consisted of: (if a pastor, please state the church, number of years, and location)*

Church Name

Location

Number of Years

What is your intended ministry for next year?

Current Status* Ordained
Council Licensed
Local Licensed
Other (please explain below)

If "other," please explain

Number of Years as a CCCU Minister (beginning with when you were licensed)

Total number of years in licensed ministry (regardless of denomination)

Where is your membership?*

What church do you attend?*

Number of Sermons Preached

Number of other public addresses

Weddings performed

Funerals Conducted

Revivals Preached

Have you been arrested in the past 5 years?* Yes No

Significant personal achievements

Denominational Duties

Do you receive the Evangelical Advocate?* Yes No

Did you attend Ministerial Conference this year?* Yes No

If you were not able to attend in person, did you attend Ministerial Conference by Livestream?* Yes No

Did you attend the last General Council?* Yes No

Did you attend your District Council?* Yes No

Have you completed your required two units (8 hours) of Continuing Education?* Yes No

List CEUs*

Quick Links

2024 Minister's Activity Report

General Information

Your Address for the Coming Year

Ministry Information

Denominational Duties

Thank you!

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