2024 Standing Form Username * User Password * User Email * Confirm Password * PERSONAL INFORMATION Choose One: * I am updating my information I am Submitting my Annual Renewal for Standing I am Under Care of the Commission on Ministry I am Submitting for Transfer of Standing First Name * Middle Name * Last Name * Suffix Preferred Name Gender * Female Male Non-Binary I prefer not to answer Spouse Name Spouse Phone Street Address Address 2 City State/Province Zip/Postal Code Country Primary Phone * Alternate Email Birth Date * The Christian Church (Disciples of Christ) seeks to be a pro-reconciling anti-racist church. To that end, we seek to maintain an understanding of the diversity of the servants who are leading the church in various ministries. Please mark the ethnicity choice(s) appropriate for you. *African American Asian Native American/First Nations Haitian Hispanic Pacific Islander Middle Eastern European Descent Other If Other selected for ethnicity choice(s), please share further information here: ORDER OF MINISTRY In the ORDER OF MINISTRY in the Christian Church (Disciples of Christ) in Florida, I serve as (check all that apply): *Ordained by Disciples of Christ (list Ordination Region and Date in next two fields) Ordained by another denomination (list denomination, Date Ordination Recognized and Standing certified in next two fields) Commissioned by the Christian Church (DOC) in Florida Region of Ordination OR Denomination in which ordained Ordination Date I currently serve as: (list all that apply):Chaplain Minister of a Disciples congregation in the Florida Region Associate Minister Interim Minister Student Minister Student Associate Minister Non-parish Minister Disciple Minister serving a non-Disciples congregation Disciple minister serving a Disciple organization Minister of Counseling Other employment but preaching Retired Minister but still active Retired Minister and inactive Other Name(s) of Congregation/ministry you serve Start Date Address(es) of Congregation/Institution you serve: Congregation/Institution Website Describe particular challenges and/or joys in your ministry: 0 characters Congregation where you hold membership: I have reviewed and will adhere to the Ministerial Code of Ethics of the Christian Church (Disciples of Christ). If you need to review, the PDF can be downloaded from the link below. * Yes No Ministerial Code of Ethics Download the Ministerial Code of Ethics I will be a faithful minister serving within and supportive of the Christian Church (Disciples of Christ). If you need to review the Personal Qualifications for the Order of Ministry, the PDF can be downloaded from the link below. Read Section II.A.2. * Yes No Personal Qualifications for the Order of Ministry Download the Personal Qualifications for the Order of Ministry Certification for ministry requires participation in "programs of study, growth and renewal" [Theological Foundations and Policies and Criteria for the ordering of Ministry: Section II.F.2.b.ii]. I participated in the following continuing education opportunities this year: (please check ALL that apply) *Personal Spiritual Retreat General Assembly Southeast Convencion District Meeting Obra Hispana Assembly Disciples Church Camp Experience Active service on General and/or Regional commissions/committees/boards Transformation Event Clergy Retreat National Convocation NAPAD Assemby Retreats/Workshop(s) at The Retreat at Silver Springs Retreats/Workshop(s) at other DOC conference centers/camps Webinars through DOC seminaries or DOC general ministries Other continuing education opportunities in which I participated this past year: 0 characters I have completed Boundary Training within the past 5 years. (Please submit the certificate for this if not already done so.) * Yes No Date Please use 1111 if you have not taken this training. I have completed anti-racism/pro-reconciliation training within the past 5 years. (Please submit the certificate for this if not already done so.) * Yes No Date Please use 1111 if you have not taken this training. Emergency Contact Name * Emergency Contact Phone * SIGNATURE * By entering my name below, I agree that this electronic signature is the legal equivalent of my manual signature and I accept the terms and conditions set forth by The Florida Disciples of Christ Regional Church. Message Submit