Report of Ministerial Ordination or Licensure
Forms Section 3020
Full name and address of brother ordained or licensed:
Name of Spouse _____________________
Phone _____________________
Birth date _____________________
Office: (Check one) _____Minister _____Bishop _____Deacon
Status: (Check one)_____Ordained _____Licensed
If license, period of License: _____________________ to _____________________
Place (church or mission) of ministerial responsibility: _____________________
Local church or mission function/assignment (Circle one):
Senior pastor, associate pastor, bishop, overseer, deacon, other,
(if other, explain). _____________________
Date of ordination or license: _____________________
Place of ordination ceremony: _____________________
Was the CMC approved Ministerial Questionnaire used in the examination of the candidate? _____Yes _____No
Officiating Minister: _____________________
Ordained ministers who assisted: _____________________
Officiating bishop or overseer _____________________
Signature_____________________ Date _____________________
This form should be filled out by the officiating minister immediately after the ordination or licensure and sent to Conservative Mennonite Conference, 9910 Rosedale Mlfd Ctr Rd, Irwin, OH 43029.