NEW SHORT FORM: CMC REPORT OF MINISTERIAL FAITH & ACTIVITY 2025

1
Reporting Minister's Name* This field is required.Please Provide Full Legal Name and Suffix
Prefix
First Name
Middle Name
Last Name
Suffix
2
Date of Birth* This field is required.
Date
Month
Day
Year
3
Last Four of Social Security Number* This field is required.
4
Marital Status * This field is required.
Please Select
Please Select
Option 1 - Single
Option 2 - Married
Option 3 - Divorced
Option 4 - Widowed
5
Spouse's Name
First Name
Last Name
6
Home Mailing Address* This field is required.Please provide the mailing address you receive regular mail and correspondence. (PO Box or Street Name and Number)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
PHONE / EMAIL CONTACT INFORMATION
Cell phone number
Alt./Office phone
Email
Alt./Office email
8
Where is your official church membership?CHURCH NAME: This may differ from the church you pastor or serve as a minister.
9
What Annual Conference are you reporting too?* This field is required.
Please Select
Please Select
Alabama Annual Conference
Georgia Annual Conference
Louisiana Annual Conference
Mid-Atlantic Annual Conference
Mississippi Annual Conference
Missouri Annual Conference
NorthCentral Annual Conference
SouthEast Coastal Annual Conference
Tennessee Annual Conference
East Texas Annual Conference
North Texas Annual Conference
South Texas Annual Conference
Rio Grande Annual Conference
10
Is this a report for Elder's Credentials or Ministerial Credentials?
Please Select
Please Select
Elder's / Ordination Credentials
Ministerial Credentials
11
What is your Ministerial Employment Status?
Please Select
Please Select
Full-time
Bi-vocational
Retired
12
What Church do you Pastor or Minister?* This field is required.Provide the Church or Churches you serve as pastor or minister. (Chaplains may include service group name)
13
What is your official church title and position of service?Many Churches have multiple pastors and ministers. If you hold credentials for elder or minister, please include your working title and short description if necessary.
14
How many years of ministerial service do you have within the CM Church?This includes all ministerial service years holding an exhorter's license, license to preach, and elder's credential/ordination.
15
Please provide any Professional Development/Enrichment training attended in the past 12 monthsInclude any classes, seminars, and conferences attended.
Huge
Large
Normal
Small
Ok
Ok
16
Ministerial Reaffirmation Statement* This field is required.I reaffirm my faith in Jesus Christ as my Savior and Lord, and my full agreement with the doctrines and principles of The Discipline of the Congregational Methodist Church (20th Edition).
YESNO
17
Consent for Inclusion in Published CM Directory* This field is required.I agree that by completing and submitting this form, I acknowledge my desire to retain my existing credentials for another year with the Congregational Methodist Church. By providing this information, I consent to the inclusion of my contact information in the official CMC Directory.
YESNO
18
Email/SMS Consent Statement* This field is required."By providing your email and phone number, you agree that The Congregational Methodist Church and its Divisions may contact you via email and text with updates, reports, and other important information. You can unsubscribe anytime by clicking the unsubscribe link in emails or replying STOP to text messages."
YESNO
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