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Kansas Disciples of Christ

Together We Connect and Equip

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Request for Renewal of Standing For Ordained Ministers: 2022

Request for 2022 Standing

Name(Required)

First Middle Last

Date of Birth(Required)

MM slash DD slash YYYY

Relationship Status(Required)

Single

Married

Widowed

Spouse's Name(Required)

First Last

Home Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Preferred Email(Required)

Cell Phone(Required)

Office Phone

Home Phone

I am an

Ordained Minister

Commissioned Minister

I am a(Required)

Active Ordained Minister

Retired-Active

Retired-Inactive

Ordination Region(Required)

I am a(n)(Required)

Active Commissioned Minister

Retired Commissioned Minister

Present Ministerial Position(Required)

Ministry Site Name(Required)

Ministry City(Required)

City

Name of the Kansas congregation you are a member of(Required)

Kansas Congregation City(Required)

City

Continuing Education

With the adoption of the Theological Foundations & Policies & Criteria for the Ordering of Ministry, this is required of all ordained and commissioned ministers. List your continuing education events for 2022.

Event(Required)

Event

Book/Journal(Required)

Book/Journal

I have attended an anti-racism workshop(Required)

Yes

No

I have reviewed and will adhere to the "Ministerial Code of Ethics"(Required)

Yes

No

I am willing to be a faithful minister serving within and supportive of the Christian Church (Disciples of Christ)(Required)

Yes

No

Personal Disclosure Statement

(If any question below is answered yes, please explain.)

Have you ever been charged or convicted of a felony?(Required)

Yes

No

Please explain your felony charges/conviction(Required)

Have you ever been charged with or convicted of any crime against children or other persons?(Required)

Yes

No

Please explain your charges/conviction of crimes against children or other persons(Required)

Is there any other fact or circumstance in your background that should prevent you from being entrusted with the supervision, guidance and care of children or youth?(Required)

Yes

No

Please explain the fact or circumstance that should prevent you from being entrusted with the supervision, guidance and care of children or youth(Required)

Signature(Required)

I understand that checking this box constitutes a legal signature. I certify the information provided is accurate.

Sign your name below(Required)

Hidden

Date

MM slash DD slash YYYY

Phone

This field is for validation purposes and should be left unchanged.

Δ

Primary Sidebar

Events:

Art of Church Communication Workshops
Stay tuned for 2023 Dates

Summer Church Camp Photos
Available until December 31, 2022
2023 Schedule available in February

Disciples Connect and Equip Regional Assembly
Stay tuned for 2023 date information

Kanas Disciple Men – Fall Retreat
September 16-17

Kansas Disciples Women – Fall Retreats
October 5-7 & October 7-9

Tawakoni Gala & Auctions
October 8-9 (Virtual)
October 15 (In-Person)

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Christian Church in Kansas Regional Office

2914 SW MacVicar Ave.
Topeka, KS 66611-1787
785-266-2914
785-266-0174 fax
[email protected]
8:00 – 4:30 p.m.
Monday – Friday

South Central Satellite Office

Communications Office
8492 SW Tawakoni Rd.
Augusta, KS 67010-8111
316-775-1236
316-775-1455 fax
[email protected]

9:00 – 5:00 p.m.
Monday – Thursday

Friday – By appointment only

Central/High Plains Satellite Office

5230 Broadway Ave.
Great Bend, KS 67530-3208
620-792-6490
620-792-1268 fax
[email protected]
8:00 – 4:30 p.m.
Monday – Thursday
Closed Friday

Disciples Center at Tawakoni

8492 SW Tawakoni Rd.
Augusta, KS 67010-8111
316-775-1222
[email protected]

Call for appointment and office hours.

Webmaster

Jessica Marston
[email protected]