I am:
submitting my annual standing renewal            submitting for transfer of standing

Section 1: Contact Information

Name:
First      Middle      Last

Vital Statistics:
Date of Birth      Ethnicity Please select one African American Asian European Descent Hatian Hispanic Middle Eastern Native American/First Nations Other Pacific Islander

Contact Info:
Home Address

Phone Numbers

Email Addresses

Employement Information - please move to Section 2 if you are retired status
Current Ministry Position:
Name of Church, Institution, Agency

Employer Address

Date Employment Began Full Time Part Time

Other Employment :
Employer Name

Employer Address

Date Employment Began Full Time Part Time

Section 2: Order of Ministry

Standing Specifics
I currently have standing with the NWRCC and wish to continue that status: Yes    No   Not Applicable
I am new to the NW Region and seeking transfer of standing: Yes     No     Not Applicable

Ordination or Licensing Information
I am an Ordained Minister: Yes Not Applicable
           Christian Church (Disciples of Christ)
           United Church of Christ
           Other Denomination

Ordination Date      Ordination Location

I am a Licensed Minister: Yes Not Applicable
Licensing Date      Licensing Location

Ministry Status
I am best described as a:
Congregational Minister
Interim Minister
Pastoral Counselor
Chaplain
Minister in Higher Education
Non-Parish Minister
Regional or General Office Staff
Active Retired (serving a congregation as a settled pastor, interim pastor, supply preaching regularly, etc)
* Inactive Retired (if you no longer regularly engage in active ministry, you may skip Section 3)

Section 3:
Criteria for Continuation of Annual Standing for Active Ministers

Employment Criteria
“Standing continues so long as the minister does the following: performs faithfully the duties of a minister as authorized by ordination or licensing, either in an occupation recognized by the church as ministerial in purpose or in service recognized by the church as ministerial in purpose (a person will not be continued in Standing who is neither employed by, nor actively seeking employment in, nor accountable to a congregation, organization, related institution or regional or general unit of the Christian Church (Disciples of Christ). Policies and Criteria for the Order of Ministry [V.B.3.a]

I am:
currently employed by which is a congregation, organization, related institution, or a general/regional unit of the CC(DOC).

currently employed by as an ordained Ministerial Partner in the
United Church of Christ.

currently employed by in a position I would seek to have recognized as
"ministerial in purpose."
Please describe your basic responsibilities in this position.

Study and Growth Criteria
Qualifications for Standing include participation in “programs of study, research, growth, renewal.”
Policies and Criteria for the Order of Ministry [V.B.3.b]
Please indicate how you have fulfilled this standard during the past year.

Sexual Ethics/Boundary Training Criteria for the NW Region

Announced in October of 2009 and beginning in 2010 every ordained and licensed minister is required to take six hours of training related to clergy sexual and ethical boundaries every three years. As we live into this new policy there is a grace period of two years: the training must be completed by the end of 2011.

If a licensed or ordained minister with standing does not complete this training as required their licensing/standing will be removed, not for cause, until he/she completes the training.

Every minister receiving licensing/standing in the NWRCC will complete the training within two years and every three years thereafter. In-Care seminary students wishing to be ordained are encouraged to take the training during their last year of seminary.

If a minister transfers from another region and completed the boundary training within the calendar year in the other region, that training will fulfill this requirement. If not, they are required to complete the training within two years and every three years thereafter. An alternative to the NWRCC sponsored training course is for a minister to take the training offered by a member of Churches Uniting in Christ (CUIC).

Retired ministers who wish to function in any ministerial capacity are required to participate in this training.

When did you last attend a Sexual Ethics/Boundary Training event?

Section 4:
Maintenance of Relationship 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 congregation in the community where feasible.” Policies and Criteria for the Order of Ministry [V.B.3.c]

I am a member of:    Church Location

Participation in the Wider Church (check all that apply in the last year)
General Assembly
Regional Assembly
Area Assembly
Turner Lectures
Camps/Outdoor Ministry
Ecumenical Participation
Women's/Men's Retreats
Regional or Church Boards, Commissions, Committees
Other    Please Specify:

Section 5: Affirmations

I have read and affirm My Ministerial Code of Ethics.
Copy available at http://www.disciplesnw.org/docs/GCOMClergyCodeofEthics.pdf

I have read and affirm the NWRCC's Clergy Misconduct Policy & Procedures document.
Copy available at http://www.disciplesnw.org/docs/NWRCCPolicies-ClergyMisconductPolicy1110Approved.pdf

Optional Questions & Notes to the Commission

In your setting, have your ministerial activities changes in the last year? Yes No
If yes, please describe how they've changed:

Please describe any ways in which the Region/Commission on Ministry could be helpful to you.

Is there any other information you wish to share, clarifications you'd like to make or questions and suggestions for the Commission on Ministry?

Signature
By typing your name and date below and pressing the "Submit" button, you acknowledge that you are accountable for the information submitted and that the answers to the questions above will be used to determine your Ministerial Standing status in the Northwest Regional Christian Church (Disciples of Christ) and with the General Office of the Christian Church (Disciples of Christ).

Name    Date