Information Update Form for Clergy

Instructions:  Please inform us if there are any changes to your pastoral status, contact information, or clergy profile by completing the form below.  This form is for pastors who are currently serving in LCMC only.  For a printable version of this form that can be mailed in, please click here.

Profile Photo:  If you would like a digital photo of yourself to be included in your clergy profile, please upload it when submitting this form, or click here to email it.  The optimal size for photos on our website is 585 x 585 pixels, and the optimal formats are .jpg, .gif, and .png. 

Personal Information

Title

    

* First Name

    

* Last Name

    

* Email Address

    

* Primary Phone

    

Alternate Phone

    

* Mailing Address

    

* City

    

* State/Province

    

* Zip/Postal

    

Country

    

* Date of Birth

    

Marital Status

MarriedSingleWidowedDivorced

    

Spouse's Name

    

Upload a Photo (Optional)

Change Select file    Remove

  

  

Pastoral Status

* Status

ActiveContract PastorAvailable for CallAvailable for Call and OrdinationDeployedDeployed as ChaplainSeminarianInactiveEmeritusRetired

    

Congregation Name

    

Congregation Street Address

    

Congregation City

    

Congregation State/Province

    

Congregation Zip/Postal

    

Phone

    

Website URL

  

  

Email Address

    

Ministry Education/Credentials #1

Institution

    

Location

    

Degree/Certificate Awarded

    

Date

    

Ministry Education/Credentials #2

Institution

    

Location

    

Degree/Certificate Awarded

    

Date

    

Ministry Education/Credentials #3

Institution

    

Location

    

Degree/Certificate Awarded

    

Date

    

Ministry Education/Credentials #4

Institution

    

Location

    

Degree/Certificate Awarded

    

Date

    

Notes/Other

* Today's Date

    

* I subscribe and adhere to the LCMC Statement of Faith and Pastoral Admonition

 Yes    No         

  

Notes

    

Verification

* Security Code