NAME: Date:
(Type/Print) Last First Middle

ADDRESS
(Street, Route, Box Number City State ZIP)

TELEPHONE: Home Work: E-mail:

Lay: Clergy: Diaconal Minister
Sex: Male Female
Age: 12+ 18+ 30+ 40+ 50+ 60+

Heritage: Asian Black Caucasian (White)
Hispanic Native American Pacific Islander

Educational Background/Specialized Training:

Profession/Type of Employment:
Retired

Student at:

Local Church: District/Sub-District:

CURRENT POSITIONS YOU NOW HOLD:

Local Church :

District/Sub-District:

Conference :

UNIQUE SKILLS YOU WISH TO OFFER:

CONFERENCE MINISTRIES IN WHICH YOU ARE INTERESTED: (Please check no more that five)

Annual Session Planning Committee
Africa Partnership Task Force
Board for a Racially Diverse and Inclusive Church
Board of Discipleship
Board of Global Ministries
Board of Higher Education and Campus Ministries
Board of Lay Ministry
Board of Ordained Ministry
Board of Pensions
Board of Trustees
Church and Society Network
Commission on Archives and History
Committee on Communication
Committee on Mission Personnel
Committee on Religion and Race
Board of Stewards
Council on Finance and Administration
Council on Retreats and Camps
Council on Young Adult Ministries
Council on Youth Ministries
Disaster Preparedness and Response
Disability Concerns
Education
Ethnic Ministries Local Church
Hispanic/Latino Committee
Native American Committee
New Ministries
Older Adult Council
Personnel Policies and Practices Committee
School of Christian Mission
Small Membership Churches
Status and Role of Women
Town and Country Committee
United Methodist Men
United Methodist Women
Urban Ministries
Vision/Mission/Values Team
Volunteers in Mission
Developing Leaders in the Local Church
Creative Worship Events
Preaching Workshops/Assistance
United Methodist History

SPECIAL SKILLS AND ABILITIES WHICH YOU ARE WILLING TO SHARE WITH LOCAL CHURCHES, DISTRICT GROUPS, AND CONFERENCE UNITS:

Ministries to / with Ethnic Persons
Christian Education workshops / Assistance
Church School Teacher Training
Grant Writing
Writing Scripts for Slide/Video Presentations
Photography
Video/T.V. Production Leadership Development Training
Computer Skills
Volunteer help at Conference Office (i.e. collating, front desk data entry, ect)
Lay Speaker Training
Certified Lay Speaker
Conference Speakers Bureau
Ministry to/with Single Adults
Ministry to/with Youth
Ministry to/with Young Adults
Ministry to/with Older Adults
Biblical Studies
Pastoral Care and Calling
Small Group Leadership
Conducting Confirmation/Membership Classes
Stewardship Training
Church Administration Workshops/Assistance
Drama, writing, production,
Graphic Design
Large Event/Project Management
Church Growth Workshops/Assistance
Public Relations
Health and Pensions Benefits
Other