2021 FSLDW Pastoral Charge Information Form

Name of Pastoral Charge or Community of Faith (if a one-point charge)*
Mailing Address*
Street Address Address Line 2 City Province Postal Code
Phone #*
Email Address*
Pastoral Charge Website
Minister
First Last
Minister's Email Address
List the Points on your Charge:
Name of person submitting this form*
First Last
Email for person submitting this form*
A copy of the submitted form will be emailed to you.
Board/Council Chair (or equivalent)
Name
First Last
Phone
Address
Street Address Address Line 2 City Province Postal Code
Email
Board/Council Secretary
Name
First Last
Phone
Address
Street Address Address Line 2 City Province Postal Code
Email
Pastoral Charge/Office Manager (if applicable)
Name
First Last
Email
Phone
Treasurer
Name
First Last
Phone
Address
Street Address Address Line 2 City Province Postal Code
Email
Trustees Chair
Name
First Last
Phone
Email
M&P Chair
Name
First Last
Phone
Email
Justice, Mission and Outreach
The person whose role is to disseminate information and education, as well as work with the Pastoral Charge Outreach Committee or equivalent to plan initiatives for the local Pastoral Charge.
Name
First Last
Phone
Email
Cemetery Contact Person
For points which no longer have a congregation.
Name
First Last
Phone
Email
Children, Youth and Young Adult Leader
If you have someone in your congregation who is working with youth and/or young adults please let us know as our Minister for Children, Youth and Young Adults and the Faith Formation Team would want this information to help build connections for youth and children. If you do not have children or youth, please give us the name of your Christian Development Committee or someone to connect with regarding bible study, faith formation, etc.
Name
First Last
Phone
Email
Sunday School (Children's Programs) Leader
Name
First Last
Phone
Email
Local UCW or Women's Group Representative
Name
First Last
Phone
Email
Local Men's Ministry Group Representative
Name
First Last
Phone
Email
Stewardship
Name
First Last
Phone
Email
Mission & Service
Mission & Service Enthusiast/Stewardship Point Person may be the same person. The role is to be a liaison between the stewardship team and the Pastoral Charge for matters and education regarding stewardship and Mission & Service.
Name
First Last
Phone
Email
“The use, retention and disclosure of personal information collected from this form is done in compliance with privacy legislation including, but not limited to, the Personal Information Protection and Electronic Documents Act (2000, c.5).”

2021 FSLDW Pastoral Charge Information Form

Board/Council Chair (or equivalent)

Board/Council Secretary

Pastoral Charge/Office Manager (if applicable)

Treasurer

Trustees Chair

M&P Chair

Justice, Mission and Outreach

Cemetery Contact Person

Children, Youth and Young Adult Leader

Sunday School (Children's Programs) Leader

Local UCW or Women's Group Representative

Local Men's Ministry Group Representative

Stewardship

Mission & Service

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