Information Update Form for Clergy

* denotes required field

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

Spouse's Name

* I would like to

Upload a Photo

Change Select file Remove

Pastoral Status

* Status

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