2021 Rostered Report (Call from Congregation OR Call from Synod Council)

First Name*

Last Name*

Roster*

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Primary Phone Number*

Primary Email Address*

Primary Mailing Address*

Primary City*

Primary Zipcode*

Date of Birth*

MM/DD/YY

Spouse's name, if married.

Ordination Date*

MM/DD/YY

Your call is Full-time or Part-time*

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If part-time, what percentage?

What congregation/organization are you serving?*

Congregation, City/Organization

List any significant personal or professional changes this past year. (i.e. marriage, death, change of address, installation/ordination, etc.)*

What were your most important learnings this past year?*

What do you feel the most sense of accomplishment about?*

What were your 1or 2 of your biggest struggles?*

What were the ways in which the congregation did/didn’t support you during this time?*

What spiritual practices grounded you in the midst of the challenges?*

What 1 or 2 things are you going to focus on this year with your congregation and/or personally?*

In what ways did the Office of the Bishop accompany and support you in 2021?

How can the Office of the Bishop be helpful in accompanying you in 2022?

Are you thinking it might be time to leave in the next 1-3 years? If so, what are you doing to prepare your setting for the future for when you aren't with them?

Was Housing Provided?*

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Defined Compensation: Cash Salary, Housing and Social Security offset for 20201*

How many weeks of paid vacation do you get?*

How many Sundays do you get as paid vacation?*

Percentage of ELCA Pension being contributed?

Portico Benefits (ELCA) Medical/Dental Coverage

Please check all that apply

Spouse

Member

Dependent

Coverage Waived

What is the medical deductible paid by congregation?

If pension and/or other benefits are provided by other than or beyond those offered by Portico Benefit Services, please list the carrier's names and coverages:

Other pay (explain)

Do you wish to discuss a possibility of a change?*

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If yes, how urgent?

Note any concerns or issues you desire to share with your synod bishop.

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