2021 Church and Clerk Info

Please complete by February 9, 2021. Once you hit submit, it will be sent. If you have questions about the form, contact Adrien Domske at adomske@pghpresbytery.org or 412-697-9207.

IMPORTANT NOTES:

Please use the TAB button to move between entries. If you hit the ENTER button, it will accidentily submit the form before you have completed your work.
If you want a copy of your form for your own records, please hit the PRINT button BEFORE you submit. From your print screen, most systems should also have the option to save to a PDF for your files. Once you have saved and/or printed, THEN hit submit. Once you submit, you won't have access to the form again.
Once you start the online form, your input will automatically be saved locally on the browser (Firefox, Internet Explorer, Google Chrome, etc.) storage for up to 24 hours. The saved local data is cleared when the form is submitted or 24 hours after the form was started. This way, you will not lose any data if you accidentally close or reload your browser while filling out the form. Please note that you need to use the same browser in order for the saved field values to autofill in the form.

Church Name

Church Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Church Phone Number

Area Code Phone Number

Church Primary Email Address

example@example.com

Church Website Address

Worship Times (Indicate Summer Times Too, If Applicable)

Office Hours

Office Administrator/Secretarial Staff

Does your church have a columbarium or cemetery?

Columbarium Cemetery

Is your church large enough and have adequate parking to host a presbytery meeting (average attendance of 150 people), and if yes, would you be interested in doing so?

Yes No

Do you have any elders in your church, who aren't currently serving, that might be interested in serving on a Presbytery committee? If so, please list their names, phone numbers and email addresses.

Clerk of Session Information -
If you have have two people sharing duties for clerk, please check the appropriate title that represents which duties they are responsible for (clerk, co-clerk, recording clerk).

Last Name

First Name

Title

Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Home Phone Number

Area Code Phone Number

Cell Phone Number

Area Code Phone Number

Email

example@example.com

Last Name

First Name

Title

Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Home Phone Number

Area Code Phone Number

Cell Phone Number

Area Code Phone Number

Email

example@example.com