COM: Appendix 10 – Application for Ordination Si necesita este formulario en español, seleccione la bandera española en la parte superior de la página y la página se traducirá al español.First Name *Middle Name (Type n/a if none) *Last Name *Phone *Birth Date: *Email *Address: (Street, City, State, Zip Code) *Ethnic (Choose all that apply) *African AmericanAsianEuropean descentHaitianHispanicMiddle EasternNative American/First NationsOtherPacific IslanderGender *FemaleMaleGender QueerPrefer Not to AnswerMarital Status: *SingleMarriedSeperatedDivorcedWidowedSpouse's Name: I am a member of the Christian Church (Disciples of Christ) *YESNOName of Church *Church Phone *Address (Street, City, State, Zip Code) *Name of Pastor *I hereby duly request from the Commission on Ministry of the Florida Disciples Regional Church the acceptance of my Ordination into Christian Ministry within the General Church.Signature (By entering my name in this box I am signing this form.) *Email *Three Persons whom I will ask to write Ordination Reference Letters:Name *Phone *Email *Address (Street, City, State, Zip Code) *Relationship to Me *Name *Phone *Email *Address (Street, City, State, Zip Code) *Relationship to Me *Name *Phone *Email *Address (Street, City, State, Zip Code) *Relationship to Me *EmailSubmit
