Parish Nurses Demographics Survey 2015

Health Ministry Survey

To better serve the members of the Health Ministry Network it is important that the General Board of Global Ministries and General Board of Pension Health Benefits create a detailed listing of our members. By updating the membership list, we will be able to direct the following information to the appropriate audience.
• Grants and health projects for specific regions of the U.S.
• Information on workshops, conferences and educational events in specific states
• Heath ministry contacts of individuals/congregations for collaboration, mentoring and support

Some options for collaboration include: community gardens/food security, UMW projects surrounding health of women and children, Americare pharmaceutical partnerships, and partnering with deacons and church community workers

Thank you.

Question Title

* 1. Please provide your name and email address.

First Name

Last Name

Email Address

Question Title

* 2. Your Health Ministry Role [you may select more than one role, if appropriate]:

Faith Community/Parish Nurse (FCN/PN)

RN but NOT a FCN/PN

Clergy

Lay Minister

Physician

Other Health Professional

Health Advocate

Other (please specify)

Question Title

* 3. Church where health ministry is located [If you do not serve a church, leave the church name blank, but please provide your address]:

Church Name:

Church Address:

Church Address Line 2:

City/Town:

State:

ZIP:

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* 4. United Methodist Church Jurisdiction [if known]

If Other (please specify)

Question Title

* 5. United Methodist Church Conference [if known]

If Other (please specify)