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Print  |  Email to Someone You Know  Email to Someone You Know  |  Choose a Font Size:123 Today's Date: 3/19/2010

Parish Information Sheet

Please tell us about yourself: (* denotes required fields)
Date of Application:
Year:
 Parish I.D#:
Church
Address
 Suite
City
State       Zip
     
Office Phone *
 Office Fax
Parish Website
 Parish Email *
Continued below...

Parish Leadership

Click on each clergy, staff or volunteer position that applies to your parish, and a form will open for you to complete. Please continue this for all positions that apply to your parish.

Rector, Vicar, or Clergy In Charge

First Name 1
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Assistant Clergy-1

First Name 2
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Assistant Clergy-2

First Name 3
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Assistant Clergy-3

First Name 4
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Assistant Clergy-4

First Name 5
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Assistant Clergy-5

First Name 6
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Assistant Clergy-6

First Name 7
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Warden-1

First Name 8
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Warden-2

First Name 25
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Treasurer

First Name 9
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Clerk

First Name 10
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Music director/organist

First Name 11
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Parish Administrator

First Name 12
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Bookkeeper/Fin.Sec'y

First Name 13
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Parish Historian

First Name 14
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Parish Secretary

First Name 15
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Christian Formation

First Name 16
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Children's Ministry / birth-grade 5

First Name 17
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Youth Ministry / grades 6-12

First Name 18
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Young Adult Ministry / College - 30s

First Name 19
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Adult Christian Formation

First Name 20
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Outreach/Mission

First Name 21
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Other position-1

First Name 22
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Other position-2

First Name 23
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  

Other position-3

First Name 24
          Last Name
Title
Address
 Suite
City
State       Zip
     
Home Phone
 Office Phone
Email
  
1. Contribution to an accredited seminary in the prior year.
$
Seminary name(s)
2. Send statements and bills to church? Yes
 No
If no, where?
3. Does your parish have a relationship with a parish in Colombia or the Caribbean or with a parish/diocese elsewhere in the Diocese of Connecticut, or the Episcopal Church or the Anglican Communion?
Yes
 No
If so, what is it? (Where, what, with whom, any partners?)
Enter the code shown above
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The Episcopal Diocese of Connecticut | 1335 Asylum Ave | Hartford, CT 06105 | Tel. 860-233-4481, 800-842-0126 (in CT)
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