Request for 2009 Standing

for ministers certified by the
General Commission on Ministry
of the Christian Church (Disciples of Christ)

If you desire to receive and/or continue your Standing you must complete and return this form by January 31, 2009.

Name
First
Middle
Last
 
Home Address
Street
City
State
Zip
 
Work Address
Street
City
State
Zip
 

Please send mail to:

Home Address
Work Address
 
Telephone Numbers (include Area Code)
Home
Work
Cell
Fax
E-Mail Address
 
Please contact me by:
Home Phone
Work Phone
Cell Phone
 
Ordination Information

By Disciples:

  Region:
  Location:
  Date:

By Another Denomination:

  Denomination:
  Ordination recognized by the Christian Church (Disciples of Christ) and Standing certified by (Region or General Commission on Ministry):
  Date:

Current License By:

  Region:
  Ministry Location :
  Date:
 
Ministry Information
Type of Ministry in which engaged:
Full/Part Time Status:
Title (Position):
Employer:
If you are not serving in an active ministry at the present time, please explain:

Certification for ministry includes review of participation in “programs of study, research, growth, and renewal” (The Policy and Criteria for the Order of Ministry [V.B.3.b.]). Please indicate how you have fulfilled this standard.
 

Boundary Training

Yes, I have completed Healthy Boundary training.

Date Completed:
Authorizing entity (Region, General Ministry, Hospital etc.):

No, I have not taken Healthy Boundary training.
 

Describe particular challenges or joys in your ministry you wish to share:

Please describe ways in which you have taken time for physical and spiritual renewal, recreation, and vacation:

Identify ways you stay connected with the Christian Church (Disciples of Christ):

 

"Standing continues so long as the minister . . . maintains relations with the Christian Church (Disciples of Christ) including participating membership in a recognized (Disciples of Christ) congregation in the community where feasible.”
- Policy and Criteria for the Order of Ministry [V.B.3.c.]

I am a member of: Location:

Have you ever resigned from employment, been asked to resign from official action, had your ministerial or secular employment terminated whether paid or volunteer, or had legal or ecclesiastical action taken against you in whole or in part on allegations of any of the following:

Sexual Harassment   Financial Misconduct
Sexual Misconduct Alcohol or Substance abuse
Physical Abuse Violation of the Ministerial Code of ethics
Child Abuse    
 

If YES to any of the above, please explain:

All parties (minister, endorser, unit head) shall notify the General Commission on Ministry of any circumstances or situations that may result in a challenge to a person’s standing.

By submitting this form, I express my desire to continue my Standing.  The submission also indicates that I have reviewed and will adhere to The Ministerial Code of Ethics, Policies and Criteria for the Order of Ministry of the Christian Church (Disciples of Christ), and the Policies and Procedures for Responding to Accusations of Clergy Sexual Misconduct of Persons Engaged in Non-Regional Ministries.