Clergy Assignment Agreement

Clergy Assignment Agreement
Please complete this form to confirm and document your clergy assignment details and agreement.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Assignment Location (Parish/Church/Institution Name)
Assignment Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Assignment Start Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Assignment End Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Role/Title for this Assignment
Immediate Supervisor Name
Summary of Assignment Responsibilities
Signature
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