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American
Baptist Churches of Indiana & Kentucky (THIS FORM IS FOR: BI-VOCATIONAL PASTORS, CLI GRADUATES, OR PART-TIME PASTORS. IT DOES NOT REPLACE AN ABPS PROFILE |

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Full Name |
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Complete Mailing Address |
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Phone No. where you wish to be contacted |
E-mail Address |
Fax No . |
| EDUCATION List the educational degrees you have completed, giving both the degree, school or sponsoring institution, and the year in which it was (or will be) complete. |
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| Year | Degree | School or Sponsoring Institution |
| PROFESSIONAL INFORMATION List your professional credentials as a minister. This would include date of licensing, ordination, and/or recognition of ordination, and the organization/congregation which licensed/ordained/recognized. Also list the church where you are currently listed as a member. |
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| Year | Credential | Organization/Church Name |
| Licensed | ||
| Ordained | ||
| Ordination Recognition | ||
| Membership | ||
| WORK HISTORY
List both your ministry and other work history, starting with your current or most recent position. |
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| Position | Year | Organization/Church Name |
| REFERENCES List at least three professional references who are familiar with our ministry. One of these references should be your area minister or the executive minister of the ABC Region in which you serve or live. |
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| Area/Executive Min. | Ref. #2 | Ref. #3 |
| PERSONAL NARRATIVE In your own words, write a narrative that will introduce you as a person in ministry. You may include anything you want. You might describe such things as: Your faith journey, call to ministry, vision and goals for the church, leadership style, specific accomplishments that highlight your ministry, and/or work style and decision making style. This narrative should be no more than 300 words and fit in the space below. Please use 12 point type. |
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| GEOGRAPHIC LIMITS Please indicate how far (in miles) you would be willing to travel from your current residence to serve a congregation. |
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| PERSONAL INFORMATION (Optional) | ||
| Full Name
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Spouse’s Name (if married) | |
| Birth Date
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Spouse’s Occupation | |
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WHERE TO RETURN ALL INFORMATION: You may return this form and the enclosures by mail or fax. |
| Mail: Dr. Larry
Mason 1350 N. Delaware St. Indianapolis, IN 46202-2493 |
| Fax: ATTN: Dr.
Larry Mason (317)635-3554 (Fax No.) |