Clergy Info Update Form

Please use this form to update your records for contact information.

Note: This form is not a replacement for appropriate clergy licensure, which can be accessed here.

Please only submit new or changed information using this form. It is not necessary to fill out the entire form if you are only updating one piece of information (i.e. mailing address). 

(* Denotes Required Fields)

Name and Family
Title: *	The Rev. The Rev. Deacon The Rev. Dr. The Very Rev. The Very Rev. Dr. The Rt. Rev. The Most Rev. The Rev. Canon
First Name: *
Middle Name/Initial:
Last Name: *
Suffix:
Date of Birth: *
Name Preferred to be Called:
Preferred Form of Address: *	Father Mother Mr. Ms. Mrs. Dr. Dean Deacon Rev.
Spouse Title:
Spouse First Name:
Spouse Middle Initial/Name:
Spouse Last Name:
Spouse Suffix:
Position
Status: *	Employed full time Employed part time Retired In Search/Other
Church Name and Location (of employment):
Church Name and Location (of attendance):
Title:
Title Examples: Rector; Priest-in-Charge; Interim Rector; Associate for Youth & Family Ministries
Position Start Date (or Expected Start Date):
Contact Information
Home Phone:
Business Phone:
Cell Phone:
Preferred Phone:	Home Business Cell
Personal e-Mail Address:
Business e-Mail Address:
Preferred e-Mail Address:	Personal Business
Address 1
Address 1 - Type:	Home Business/Organization
Physical and/or Mailing? :	Physical Mailing
Address 1 Line 1 (Street Address, Apartment):
Address 1 Line 2 (City, State, Zip):
Address 2
Address 2 - Type:	Home Business/Organization
Physical and/or Mailing?:	Physical Mailing
Address 2 Line 1 (Street Address, Apartment):
Address 2 Line 2 (City, State, Zip):
Communications
All clergy are automatically added to diocesan communications. If you are having trouble receiving emails, please email Erin Monaghan Kamran, Associate Minister for Communications, at ekamran@thediocese.net.
Comments
Please provide us with any other pertinent information.: