American Baptist Home Mission Societies ABCUSA Annual Report for Calendar Year 2024

To maintain your Ecclesiastical Endorsement in good standing, please submit your Annual Report according to your area of service listed below:

***All Military Chaplains, Federal Correctional Chaplains, & Veteran Administration Chaplains, submit your report no later than November 25, 2024.

***All Healthcare Chaplains, State and Local Correctional Chaplains, Community Chaplains, Associate Chaplains, and other Specialized Ministers, please submit your report no later than December 20, 2024.

Form Date Field

First Name

Last Name

Title or Rank

Home Address

City

State

Zip Code

Mobile Number

Personal email address

Current Photo

I will upload

I will email

Upload a recent photo here

Drop your files here

Name of Employer

Employers Full Address

Work Telephone Number

Work email address

Preferred contact method

Work telephone

Mobile telephone

Work email

Home email

American Baptist Church Membership

American Baptist Church Full Address

Pastors Name

American Baptist Region

Are you Board Certified

Yes

No

Are you seeking Board Certification in 2025?

Yes

No

Continuation Education Received in 2024

Will you be attending the 2025 Biennial

Mission Summit

Yes

No

Did you attend any of the following in 2024:

Thursday Evening Sacred Space

2024 Spiritual Caregivers Conference @ Space for Grace

APC Faith Group Breakfast

ACPE Faith Group Breakfast

Gathering with Rev. Adam Taylor -September 5, 2024

Training Moral Resiliency/Self Care October 19, 2024

Training Grief & Gratitude November 21, 2024

Sacred Space December 5, 2024

Tuesday evening Prayer

Briefly describe your ministry in 2024

Professional Goals for 2025

Personal Self Care

Professional accomplishments and milestones

Professional development: I read the following:

Please indicate whether book or article.

Name at least one training we can offer in 2025

Will you be participating in the following in 2025

What else would you like to share?

Signature

Send me a copy of my responses

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