Annual Report of Retired Clergy Please note: It is not possible to save information to this form and return to finish it later. Please be prepared to complete the form in full and submit before you navigate away from this page. Annual Report of the Retired Clergy Your Name* First Last Email* Enter Email Confirm Email Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneWhere do you hold your Charge Conference membership? District Beacon Capital Corridor Fairway Gateway Harbor Heritage Sound Please indicate the number of times you have performed each ministerial duty since your last report. Sermons PreachedWorship Services LedBaptisms PerformedClasses TaughtCommunion Services Celebrated or AssistedWeddings Performed or AssistedFunerals Conducted or AssistedWorkshops Taught or AssistedPlease use the following space to share anything you think the Charge Conference and/ or the Board of Ordained Ministry should know about you, your life, and your ministry since your last report.NameThis field is for validation purposes and should be left unchanged.