NACCC 2008 YEARBOOK DATA CHURCH MEMBERSHIP INFORMATION FORM

(Please print or type)

Church Name ___________________________________________________________ City Location ____________________________________________

Street Address _______________________________________________________________________________________________

Mailing Address ______________________________________________________________________________________________

City ___________________________________________________ State __________________ Zip __________________________

Phone (________)_______________________________________ FAX (________) _______________________________________

E-mail ______________________________________ Web site (URL) ___________________________________________________

Year Church Gathered _______________ Fiscal Year Beginning Month _____________________

Total Active Members ________ Weekly Average Worship Attendance ________ Weekly Children’s Education Attendance _______

Weekly Youth Group Attendance _________ Weekly Adult Education Attendance _________

Non-NACCC Donations __________________ Operating Expenses _______________________

Member of which State or Regional Association ____________________________ List church’s other denominational membership ___________________

Person completing this form _______________________________________ Daytime Phone (________)_______________________________________

All names provided on this form will be kept confidential within the NACCC.

Please visit www.naccc.org/member_church/forms.htm for additional forms.

MAILED OR FAXED COPIES ARE DUE BY JUNE 1, 2007- WE CAN NOT GUARANTEE CHANGES RECEIVED AFTER THIS DATE.

MAIL TO: NACCC, PO BOX 288, OAK CREEK, WI 53154-0288

PHONE: 800.262.1620 FAX: 414.764.0319 E-MAIL: Barb at bkitchen@naccc.org

Þ Please complete back side

Page 2

NACCC 2008 YEARBOOK DATA INFORMATION FORM

Senior Minister ________ ________ __________________________________ Year Called ________________ Date Ordained _____/_____/__________

Title Code Month/Day/Year

Senior Minister’s Home Phone (________)___________________________ Spouse _________________________________________

Other Minister on Staff ________ ________ _________________ _____________________ Date Ordained ____________ Spouse __________________

Title Code phone M/D/Y

Other Minister on Staff ________ ________ _________________ _____________________ Date Ordained ____________ Spouse __________________

Title Code phone M/D/Y

Other Minister on Staff ________ ________ _________________ _____________________ Date Ordained ____________ Spouse __________________

Title Code phone M/D/Y

CODES: SR=Senior Minister; AM=Associate/Assistant Minister; ME=Minister Emeritus; RM=Retired Minister; LM=Lay Minister;

LC=Licensed Minister; CH=Chaplain; CFTS-S=CFTS Student; CFTS-A=Alumni; IM=Interim Minister; AS=Arbella Society;

UM=Unsettled Minister (one who is a member, ordained “in search of” call); MM=Minister Member: MDIV=Master of Divinity;

DMIN=Doctor of Ministry; PHD=Doctor of Philosophy

Please use the back page to list additional Ministers that are on Staff. Please list Ministers that are members of your church that are not on staff:

1) ______ ______ ______________________ 2) ______ ______ ________________________ 3) ______ ______ ____________________________

Title Code Title Code Title Code

Moderator _________________________________ ___________________________________________________________ ____________________ ___________________________

name home address: street, city, state, zip home phone e-mail

Chair-Diaconate/Board ________________________________ __________________________________________________ ____________________ ___________________________

name home address: street, city, state, zip home phone e-mail

Chair-Trustees ___________________________________ _____________________________________________________ ____________________ ___________________________

name home address: street, city, state, zip home phone e-mail

Christian Ed. Dir. ____________________________________ __________________________________________________ ____________________ ___________________________

name home address: street, city, state, zip home phone e-mail

Music Contact _____________________________________ ___________________________________________________ ___________________ ____________________________

name home address: street, city, state, zip home phone e-mail

Youth Contact _____________________________________ ___________________________________________________ ___________________ ____________________________

name home address: street, city, state, zip home phone e-mail

Chair-Missions ____________________________________ ____________________________________________________ ____________________ ___________________________

Benevolence Board name home address: street, city, state, zip home phone e-mail