2025 Clergy Report – Non-Parochial and Canonically Resident

2025 Canonically Resident, Non-Parochial Clergy Report

Contact Information

Name(Required)

First Last

Preferred Email for Diocesan Use(Required)

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Preferred Phone Number for Diocesan Use(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is this the same address you had last year?

General Information

Did you exercise your ordained ministry during the year of 2025?

If you answer “Yes”, complete Record of Ecclesial Acts below. If you answer “No”, provide information below.

If you answered "No", provide the reason(s) below:

Record of Ecclesial Acts

During the year of 2025, I was…

During the year stated above, I was assigned to the following congregation(s) and all Ecclesiastical Acts which I performed while assigned there are recorded in that parish register:

To add multiple entries, press the “+’ button on the right side of the field. Please include the church name and location.

Please provide the following information for each Ecclesial Act performed during the year of 2025

To add multiple entries, press the “+’ button on the right side of the fields.

Ecclesial Act

Church Name and Location

Date (Month/Year)

Provide additional details below:

For the year of 2026

If you live in East Carolina, do you wish to have your name included on the Supply Clergy List made available to all parishes?

Confirming Details and Signature

I have reviewed my provided information and confirm it is correct.

I have reviewed the provided information.

Name

First Last

Date

Time