PNCUCC 2026 ANNUAL INFORMATION REVIEW

Date of your last Boundary Training (mm/dd/yyyy)

Date of your last DEIB Training (mm/dd/yyyy)

Please email your Certification of Completion for Boundary Training and/or DEIB Training to Beth Astarte at office@pncucc.org for inclusion in your ministerial file or use this Advanced File Uploader to upload your file(s). You may use the up-arrow button to upload your file(s) though the upload will happen automatically when you hit Submit.

Advanced File Uploader (PDF, JPG or PNG format)

Did you attend the 2025 Annual Meeting?

Yes - I attended in person

Yes - I attended on line

No - excused by COM

No - unexcused absence

Other ways you have maintained your covenantal relationship with the UCC in the past year (check all that apply)

Subtitle

Attended General Synod as a delegate or visitor

Served on a Conference or UCC National Committee/Board

Other...

As you reflect on your ministry this past year, please provide us with the following information:

In your current ministry setting, describe the top 3 ways you spend your time/energy that are most life-enhancing or satisfying.

Describe a formative event or practice of your faith/spiritual journey during this past year.

List continuing education experiences from the past year that have advanced your ministry skills.

I am planning to retire from active ministry

Anticipated date of retirement (mm/dd/yyyy)

I would like a time for conversation with the Committee on Ministry

Please explain so we can direct your request to the Chair or appropriate subcommittee

I would like a conversation with our Designated Conference Minister, Rev. Phil Hodson

Is there anything in your life or ministry yhat you would like to share with Confeence leadership?

Acknowledgement

Please check your form carefully to be sure you have answered all sections completely and accurately before proceeding. *

By submitting this form, I attest that this information is true, accurate and complete to the best of my knowledge.

2026 Annual Information Review

My Personal Information

My Address(es)

My Phone Numbers

My Email Addresses

If you hold Exempt Status, you may proceed to the last page to submit your form.

Please check any that apply:

Specialized Ministry

Other Ministries

Pulpit Supply

Other Ministries

As you reflect on your ministry this past year, please provide us with the following information:

Acknowledgement