Personal Endorsement Form
for the
Covenant of Inclusion
As a Minister of the Christian Church (Disciples of Christ), I hereby bear witness that
I have signed and will display the Covenant of Inclusion. I am affirming the listing of my
name among those who have signed this covenant and my desire to participate in the
Covenant of Inclusion listserve.
Title First Name Middle Name Last Name
Address City State Zip + Four
Primary Phone Secondary
Phone Fax
Cell Phone Work Phone Pager
Primary E-Mail Secondary
E-Mail Web Site
Congregation Area Region
Type of ministry:
Please check as appropriate:
___ I will consider conveying my actions to my regional/area minister(s), and include
it in my ministerial profile, and offer my services to the Church.
___ I am already a member of GLAD Alliance.
___ I have enclosed my membership in GLAD Alliance.
___ I am interested in learning about the process whereby congregations become Open
& Affirming.
Print, fill out and send this form to:
COVENANT OF INCLUSION
GLAD Alliance Inc.
P.O. Box 44400
Indianapolis, IN 46244-0400
For a text only form, click here.
For more information, contact us at: coi@gladalliance.org |