2017 Rostered Leaders (UNDER CALL FROM SYNOD OR CHURCH COUNCIL)
RequiredRequired Question(s)
Required 1.
Please select your Classification:
Minister of Word & Sacrament
Minister of Word & Service
Required 2.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Middle Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

Required 3.
Leader Number (L######) which can be found on your Roster Leader ID card or go to the Synod website and at the top right click on (Access ACS Login) then go to the Home tab and select My Profile over to the right by Family Members click on the blue ball. ELCA ID: is your L###### number.
  
 

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Required 4.

Date of Ordination, Commissioning or Consecration?

 

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Required 5.
What Seminary did you attend/graduate from?
 

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6.
Congregation/City or Organization/City (If organization need address and office phone).
 

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7.

Primary Contact

Home
Work
8.

Family Information (Spouse's name, date of marriage & dependent's name(s))

 

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9.
How are you continuing to grow in your faith and deepen your discipleship?
 

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10.
As you reflect upon the past year, what were the most significant developments, events, or accomplishments in your life?
 

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11.
Who are you identifying and equipping for lay and rostered leadership? How are you doing it?
 

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12.
In what ways does your ordination or consecration give meaning to and guide your present ministry?
 

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13.
The ongoing Learning in which I have been involved this year includes the following:
 

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14.

What is getting in the way of your growth in faith and leadership?

 

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15.

What are some concrete ways the synod can accompany you in the coming year?

 

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16.
Dollars expended on Learning: (Personally, Congregation, Scholarship, Personal Wellness dollars received)

 

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17.

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

 

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Compensation & Benefits
 
18.

Was housing provided?

Yes
No
19.
Defined Compensation: Cash Salary, Housing and Social Security offset for 2016 and for 2017?
  
  
  
 

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20.

What were reimbursements of car/travel, travel per mile, business/professional, continuing education, CE days, book subscriptions, etc. for 2016 and for 2017?

 

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21.

Your call is

Full Time
Part Time (if so, what percentage?)
Are you following the part time ministry guidelines? If not, How can we help?
  • Comment:

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22.

Do you wish to discuss the possibility of a change of call?

Yes (if yes, is it urgent?)
No
  • Comment:

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23.

How many weeks and Sundays do you get as paid vacation?

 

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24.

Percentage of ELCA Pension being contributed.

10%
11%
12%
Other  
25.

ELCA Medical and Dental coverage (check all that apply)

Member
Spouse
Children
Coverage Waived
Other  
26.
What is the medical deductible paid by congregation?
 

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27.
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:
 

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28.

Other pay (explain)

 

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