2026 Northeastern Ministerial Standing Form Survey

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1. Please enter your current contact information (Required.)

First Name *

Last Name

Home Address *

Home Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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2. Preferred method of contact: (Required.)

Voice Cell Phone

Text Cell Phone

Snail Mail

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3. I am a/an: (Required.)

Ordained Minister

Commissioned Minister

Retired Minister

Please list the Date and Body of Commissioning/Ordination. If retired, please list the date of retirement.

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4. Please enter your current ministry setting information: If retired, you may skip to question 6.

Ministry Setting

Ministry Address

Ministry Address 2

City/Town

State/Province

ZIP/Postal Code

Website address

Phone Number

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5. This is a:

Full time position

Part-time position

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6. Which geographical area of the Northeastern Region is your ministry setting located in? If you are retired, what geographical area do you currently reside in?

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7. Congregation in which your membership is maintained: (Required.)

Congregation Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone Number

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8. Describe your involvement in ministry in your local church during the past year: (If none, please write none) (Required.)

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9. Describe your involvement in ministry in the Regional church during the past year:(If none, please write none) (Required.)

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10. Describe your involvement in ministry in the General church during the past year: (If none, please write none) (Required.)

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11. Describe your involvement in ministry in the Ecumenical church during the past year: (If none, please write none)

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12. Describe your involvement in teaching ministry in higher education, various forms of chaplaincies, pastoral counseling, or other activities that are recognized as ministry by the Christian Church (Disciples of Christ) . (If none, please write none)

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13. Have you financially contributed to a Disciples of Christ Congregation or DMF in 2025?

Yes

Other (please specify)

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14. The practice of ministry involves participation in study, growth and renewal. Indicate experiences by which you have endeavored to strengthen your ministry in these ways during the past 5 Years: (Required.)

Seminary training/Certificate Program

Continuing Eduration/ Seminary Events

Ecumenical/interfaith trainings

Regional Assembly

General Assembly

Camp/Conference Staff/Youth Events

Ecumenical/Interfaith Organization Leadership

Boundary Training

Anti-Racism Training

Clinical Pastoral Education (CPE)

Review of Disciples History and Polity

N/A

Other (please specify)

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15. If you check marked above that you have attended trainings, please list the date of attendance, organization/person that provided it and place it occurred.

Training 1:

Training 2:

Training 3:

Training 4:

Training 5:

Training 6:

Training 7:

Training 8:

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16. Are you willing to be a faithful minister serving within and supportive of the Christian Church (Disciples of Christ)? (Required.)

Yes

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17. Do you vow to practice ethical ministry and reach out to your region and/or general church if there are issues surrounding pulpit jacking or other complications within your congregation regarding change of denomination or ministries? (Required.)

Yes

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18. Have you reviewed and agree to adhere to the “Ministerial Code of Ethics”? (Required.)

Yes

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19. I have reviewed the Areas of Ministerial Practice and have concentrated my efforts of self-improvement in the past year on: (Required.)

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20. Have you ever been charged with or convicted of a felony? (Required.)

Yes

If yes, please elaborate:

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21. Have you ever been charged with or convicted of any crime against persons? (Required.)

Yes

IF yes, please elaborate:

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22. Is there any reason that you should not be entrusted with the care, guidance or supervision of children or youth? (Required.)

Yes

If yes, please elaborate:

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23. Are there any ways the Regional Commission on Ministry or the Regional Minister and staff can be of assistance to you at this phase in your ministry? (Required.)

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24. Have you encouraged anyone to consider ministry as a vocation in 2025? Are there ways that you believe your region would be helpful in the process of them discerning a call? Are you willing to share their name and contact information?

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* 1. Please enter your current contact information (Required.)

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* 2. Preferred method of contact: (Required.)

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* 3. I am a/an: (Required.)

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* 4. Please enter your current ministry setting information: If retired, you may skip to question 6.

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* 5. This is a:

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* 6. Which geographical area of the Northeastern Region is your ministry setting located in? If you are retired, what geographical area do you currently reside in?

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* 7. Congregation in which your membership is maintained: (Required.)

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* 8. Describe your involvement in ministry in your local church during the past year: (If none, please write none) (Required.)

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* 9. Describe your involvement in ministry in the Regional church during the past year:(If none, please write none) (Required.)

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* 10. Describe your involvement in ministry in the General church during the past year: (If none, please write none) (Required.)

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* 11. Describe your involvement in ministry in the Ecumenical church during the past year: (If none, please write none)

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* 12. Describe your involvement in teaching ministry in higher education, various forms of chaplaincies, pastoral counseling, or other activities that are recognized as ministry by the Christian Church (Disciples of Christ) . (If none, please write none)

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* 13. Have you financially contributed to a Disciples of Christ Congregation or DMF in 2025?

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* 14. The practice of ministry involves participation in study, growth and renewal. Indicate experiences by which you have endeavored to strengthen your ministry in these ways during the past 5 Years: (Required.)

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* 15. If you check marked above that you have attended trainings, please list the date of attendance, organization/person that provided it and place it occurred.

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* 16. Are you willing to be a faithful minister serving within and supportive of the Christian Church (Disciples of Christ)? (Required.)

Question Title

* 17. Do you vow to practice ethical ministry and reach out to your region and/or general church if there are issues surrounding pulpit jacking or other complications within your congregation regarding change of denomination or ministries? (Required.)

Question Title

* 18. Have you reviewed and agree to adhere to the “Ministerial Code of Ethics”? (Required.)

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* 19. I have reviewed the Areas of Ministerial Practice and have concentrated my efforts of self-improvement in the past year on: (Required.)

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* 20. Have you ever been charged with or convicted of a felony? (Required.)

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* 21. Have you ever been charged with or convicted of any crime against persons? (Required.)

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* 22. Is there any reason that you should not be entrusted with the care, guidance or supervision of children or youth? (Required.)

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* 23. Are there any ways the Regional Commission on Ministry or the Regional Minister and staff can be of assistance to you at this phase in your ministry? (Required.)

Question Title

* 24. Have you encouraged anyone to consider ministry as a vocation in 2025? Are there ways that you believe your region would be helpful in the process of them discerning a call? Are you willing to share their name and contact information?

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* 25. This is a space for you to add any comments for further explanation or clarification on questions that you needed to expound on.

1. Please enter your current contact information (Required.)

2. Preferred method of contact: (Required.)

3. I am a/an: (Required.)

4. Please enter your current ministry setting information: If retired, you may skip to question 6.

5. This is a:

6. Which geographical area of the Northeastern Region is your ministry setting located in? If you are retired, what geographical area do you currently reside in?

7. Congregation in which your membership is maintained: (Required.)

8. Describe your involvement in ministry in your local church during the past year: (If none, please write none) (Required.)

9. Describe your involvement in ministry in the Regional church during the past year:(If none, please write none) (Required.)

10. Describe your involvement in ministry in the General church during the past year: (If none, please write none) (Required.)

11. Describe your involvement in ministry in the Ecumenical church during the past year: (If none, please write none)

12. Describe your involvement in teaching ministry in higher education, various forms of chaplaincies, pastoral counseling, or other activities that are recognized as ministry by the Christian Church (Disciples of Christ) . (If none, please write none)

13. Have you financially contributed to a Disciples of Christ Congregation or DMF in 2025?

14. The practice of ministry involves participation in study, growth and renewal. Indicate experiences by which you have endeavored to strengthen your ministry in these ways during the past 5 Years: (Required.)

15. If you check marked above that you have attended trainings, please list the date of attendance, organization/person that provided it and place it occurred.

16. Are you willing to be a faithful minister serving within and supportive of the Christian Church (Disciples of Christ)? (Required.)

17. Do you vow to practice ethical ministry and reach out to your region and/or general church if there are issues surrounding pulpit jacking or other complications within your congregation regarding change of denomination or ministries? (Required.)

18. Have you reviewed and agree to adhere to the “Ministerial Code of Ethics”? (Required.)

19. I have reviewed the Areas of Ministerial Practice and have concentrated my efforts of self-improvement in the past year on: (Required.)

20. Have you ever been charged with or convicted of a felony? (Required.)

21. Have you ever been charged with or convicted of any crime against persons? (Required.)

22. Is there any reason that you should not be entrusted with the care, guidance or supervision of children or youth? (Required.)

23. Are there any ways the Regional Commission on Ministry or the Regional Minister and staff can be of assistance to you at this phase in your ministry? (Required.)

24. Have you encouraged anyone to consider ministry as a vocation in 2025? Are there ways that you believe your region would be helpful in the process of them discerning a call? Are you willing to share their name and contact information?

25. This is a space for you to add any comments for further explanation or clarification on questions that you needed to expound on.