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: For more information, contact us at: coi@gladalliance.org |