PERSONAL MINISTRY STATEMENT

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ROSTERED MINISTER PROFILE Completed: Draft, Not Yet Approved This Rostered Minister Profile (RMP) allows ordained and lay rostered ministers of the Evangelical Lutheran Church in America a way to share information about their faith, skills and passions for ministry. It provides basic introductory information to set a stage for conversations with Call and Search Committees. The RMP is complete once the synodical bishop reviews and approves it for use and once the person selected as the outside reference has submitted the Reference Recommendation form. PERSONAL MINISTRY STATEMENT Part I: PERSONAL INFORMATION Preferred Contact Information ADDRESS LINE ADDRESS LINE2 CITY STATE ZIP FOREIGN COUNTRY PREFERRED PHONE OTHER PHONE E-MAIL ADDRESS ELCA ROSTER ROSTER STATUS DATE ROSTERED SYNOD OF ROSTER OR CANDIDACY Language Proficiencies (FLUENT) PRIMARY LANGUAGE SECOND LANGUAGE THIRD LANGUAGE 1/2/2018 4:22:05 PM Page 1 of 13

Formal Education DEGREE FIELD OF STUDY YEAR SCHOOL DEGREE FIELD OF STUDY YEAR SCHOOL DEGREE FIELD OF STUDY YEAR SCHOOL DEGREE FIELD OF STUDY YEAR SCHOOL Life Long Learning Experiences YEAR TOPIC OR TITLE OF CLASS CONTACT HOURS YEAR TOPIC OR TITLE OF CLASS CONTACT HOURS YEAR TOPIC OR TITLE OF CLASS CONTACT HOURS YEAR TOPIC OR TITLE OF CLASS CONTACT HOURS YEAR TOPIC OR TITLE OF CLASS CONTACT HOURS Work History 1/2/2018 4:22:05 PM Page 2 of 13

In chronological order and beginning with the most recent, list up to five significant work experiences. 1. ORGANIZATION RECENT POSITION/TITLE YEAR FOREIGN COUNTRY 2. ORGANIZATION RECENT POSITION/TITLE YEAR FOREIGN COUNTRY 3. ORGANIZATION RECENT POSITION/TITLE YEAR FOREIGN COUNTRY 4. ORGANIZATION RECENT POSITION/TITLE YEAR FOREIGN COUNTRY 5. ORGANIZATION RECENT POSITION/TITLE YEAR FOREIGN COUNTRY Current Ministry ORGANIZATION RECENT POSITION/TITLE FULL TIME/ PART TIME SIZE TYPE CURRENT MINISTRY (A CONGREGATION or AN ORGANIZATION) ELCA CONGREGATION ID AVG WEEKLY WORSHIP ATTENDANCE TOTAL CURRENT BUDGET MISSION SUPPORT TO THE LARGER CHURCH 1/2/2018 4:22:05 PM Page 3 of 13

Describe your ministry site as to its characteristics (e.g. rural, ecumenical, multiple point, or agency), purpose and relationship to the larger church. Part II: COMPETENCIES OR SPECIALIZATIONS Areas of Expertise 1. 2. 3. Areas of Strength 4. 5. 1. 2. 3. 4. 5. Examples of Competencies References Synodical Bishop SYNOD DAY PHONE NUMBER EVENING PHONE NUMBER E-MAIL 1/2/2018 4:22:05 PM Page 4 of 13

An ELCA Clergy Person ORGANIZATION AND TITLE DAY PHONE NUMBER EVENING PHONE NUMBER E-MAIL Lay Person (Current) ORGANIZATION AND TITLE DAY PHONE NUMBER EVENING PHONE NUMBER E-MAIL Lay Person (Non-Current) ORGANIZATION AND TITLE DAY PHONE NUMBER EVENING PHONE NUMBER E-MAIL Supervisor/Colleague ORGANIZATION AND TITLE DAY PHONE NUMBER EVENING PHONE NUMBER E-MAIL Reference Recommendation DAY PHONE NUMBER E-MAIL Part III: REFLECTIONS ON MINISTRY Calling: You are called as a Child of God and into rostered service in this church. Reflect theologically on your sense of call and the way it shapes your life and work. 1/2/2018 4:22:05 PM Page 5 of 13

Convictions: Identify the three most prominent themes that others would say are strongly evident in your speaking, teaching, leading and living. Context: Describe the ministry setting(s) that would energize you and make the best use of your gifts, skills and passions. Accomplishments: How has your current ministry setting developed in the last three years, and in what ways have you contributed to this growth or development? Denominational Relationship: What are your hopes for the ELCA? Describe how you help others understand their relationship to the synod and the Evangelical Lutheran Church in America. Public Ministry: In your public role as a minister within the congregation or organization, how would you describe your preferred approach, style and manner? Part IV: CANDIDATE COMMENTARY The Candidate Commentary is an optional component that allows you to expand your Rostered Minister Profile with information that reveals your passions for ministry, your expertise, your experience or your vision for ministry. You are invited to be creative as you add any commentary that you feel will support this RMP. Supporting Information If requested, are you able to supply the following items? * Video recording of a worship, preaching, teaching or speaking occasion? * Audio recording of a worship, preaching, teaching or speaking occasion? * Most recent Congregation/ Organization Annual Report? * Samples of writing or communication pieces from your ministry? * Letters of Reference? * Resume or curriculum vitae? Selected Answer Comments or Explanations (Regarding this RMP) 1/2/2018 4:22:05 PM Page 6 of 13

Disclosure Information Out of care for the church, the following questions are asked of all rostered ministers and First Call candidates who are making themselves available for conversation with call committees. Have you ever engaged in, been accused of, charged with, or convicted of illegal conduct or a crime, including conduct resulting in suspension or revocation of your driver's license? Do you have any addictive behavior, including a history of drug, alcohol, or pornographic addictions that might interfere with your ability to serve or continue serving as a rostered minister? Have you ever engaged in, been accused of, investigated for, sued, or charged with sexual misconduct, sexual harassment, substance abuse, child or spousal neglect or abuse, or financial improprieties? While in candidacy or on the roster, have you ever engaged in, been accused of, investigated for, charged with, or disciplined for any conduct proscribed in Definitions and Guidelines for Discipline? Are you living in accord with Vision and Expectations and Definitions and Guidelines for Discipline for rostered ministers in the ELCA and do you intend to continue to live in compliance? Have you ever engaged in any behavior or been involved in any situations that, if they became known to the church, might seriously damage your ability to begin or continue in ministry? Selected Answer Comments or explanations to Disclosure questions: Certification I,, certify that the information contained in this Rostered Minister Profile which is dated is correct and accurate to the best of my knowledge. If there are any significant changes, I will update this form promptly. I further certify that I have agreed to, signed and forwarded the Authorization and Release of this Rostered Minister Profile. AGREE/DISAGREE CERTIFY BY CERTIFY DATE Reviewed 1/2/2018 4:22:05 PM Page 7 of 13

This Rostered Minister Profile for has been received at the on. This Rostered Minister Profile for was not yet received, as of 01/02/2018, (the date of this PDF). 1/2/2018 4:22:05 PM Page 8 of 13

Draft, Not Yet ROSTERED MINISTER PROFILE Approved: Part V: ADDITIONAL INFORMATION This section of your RMP is intended only for your Synod Bishop s information as the bishop seeks to identify suitable candidates for call to congregations and church-related organizations. Personal Information DATE OF BIRTH GENDER ETHNICITY RELATIONSHIP STATUS SPOUSE PROFESSION ELCA ROSTERED? SAME GENDER PARTNER : PROFESSION: ELCA ROSTERED? ELCA CANDIDACY? SPOUSE DATE OF MARRIAGE MARRIAGE ENDED BY: SPOUSE DATE OF MARRIAGE MARRIAGE ENDED BY: DATE OF BEGINNING DATE OF ENDING DATE OF BEGINNING DATE OF ENDING Present Relationship ELCA CANDIDACY? Prev. Spouse(s): Prev. Partner(s): If you have more than two previous spouses or previous partners mark here and give details in a letter to your synodical bishop. Comments or Explanation - Relationships Children List the name and ages of any children who live with you in your household. AGE AGE 1/2/2018 4:22:05 PM Page 9 of 13

Draft, Not Yet ROSTERED MINISTER PROFILE Approved: AGE AGE AGE AGE Health or Special Needs Requirements HEALTH /HOUSEHOLD REQUIREMENTS /SPECIAL NEEDS Special Considerations OPENNESS TO CALL DATE AVAILABLE Special Considerations (check all that apply): Certified by Evangelical Outreach and Congregational Mission for Mission Development In conversation with ELCA Global Mission Interested in pursuing graduate or other studies Skilled/experienced in multi-cultural ministry Geographic Preference OPEN TO GLOBAL SERVICE REGIONS/SYNOD Ministry Preferences Ministry site Congregations Organized New mission start Redevelopment Bilingual/ Multicultural Church-Related Organizations Camp or Conference Center Military Hospice Seminary Social Ministry Organization Prison Hospital School Ecumenical Organization College or University Residential Care Synodical and Churchwide Ministries 1/2/2018 4:22:05 PM Page 10 of 13

Synod Staff Churchwide Staff Global Service Setting Ministry position Solo Pastor Senior Pastor/ Head of Staff Associate/Assistant Pastor Program Staff Campus Ministry Chaplain Administrator Intentional Interim Professor /Teacher/Educator Youth and Family Ministry Music Ministry Camping Ministry Pastor Developer/ Redeveloper Other Specialized Ministry Community Size Rural Small town (under 10,000) Small city (10,000-49,999) Medium city (50,000-249,999) Suburb near a medium City Large city (250,000 or more) Suburb within 10 miles of a large city Suburb outside 10 miles of a large city Community Type Bedroom community College or University Farming Industrial Inner city Mining/logging Ranching Resort Retirement Current Annual Compensation Indicate your current Defined Compensation. "Defined Compensation" is described by Portico Benefit Services as the gross cash salary paid to the staff member. In the case of clergy, Defined Compensation includes any housing allowance (whether in cash or the annual cash value of a parsonage), Social Security Tax offset, and /or furnishings allowance if paid directly to the staff member. CURRENT ANNUAL COMPENSATION MINIMUM COMPENSATION FOR NEXT CALL Discernment Process 1/2/2018 4:22:05 PM Page 11 of 13

Final Comments or Explanations - To the Bishop 1/2/2018 4:22:05 PM Page 12 of 13

AUTHORIZATION AND RELEASE ROSTERED MINISTERS: A signed copy of this page of the Rostered Minister Profile MUST be mailed, faxed or emailed as a PDF attachment to your synodical bishop and to the person filling out your reference form. Your profile is not complete without this page being on file in your synod s office. CALL or SEARCH COMMITTEES: A signed copy of the Authorization and Release should be forwarded to those references and others who are being asked for a recommendation or comment. AUTHORIZATION AND RELEASE I,, authorize any references, supervisors, ELCA agencies, or any other person or organization to give the congregation, agency, institution or organization any information (including opinions) regarding my character and fitness for ministry. I also release any individual, employer, congregation, ELCA agency, institution, organization, or official, reference, or any other person or organization providing information, from any and all liability for damages of whatever kind or nature which may exist at any time on account of compliance or any attempts to comply with this authorization, excepting only the communication of knowingly false information. A facsimile, photocopy or electronic copy of this Authorization and Release shall be valid as the original. SIGNATURE DATE 1/2/2018 4:22:05 PM Page 13 of 13