Data Collection – Ministerial Role

Title

Preferred name

Surname

Full Name (if different to above)

Contact Email Address
This is a required field

Contact Address 1

Contact Address 2

Town

Post Code

Phone

Mobile

Role within the Circuit

Name of Circuit

If not in a Circuit, where are you based?

List the churches you have Pastoral Responsibility for (if known)

Denomination (if not a Methodist)

Can we add you to our mailing list to receive our Newsletters?

Date of last DBS check

Date of Advanced Training Module completed

Have you attended a Supervision briefing?

Where and when did this take place?

Have you been in regular Supervision?

Are you a trained Supervisor?

When did you last take a Sabbatical?

What roles have you held in previous appointments?

Are you on any Connexional Panel? If so, which one(s)?

Is there any pastoral information you feel the Chair should know about?
(for example, spouse/partner's name & occupation; children's names & dob; health issue etc.)