Directory Updates

Your Biographical Information:

*Please enter your name as you would like it to be listed on your profile for others to see.
*Tell us how to pronounce your name, for example Gaede is pronouced GAY-dee or Anna Gehres is AN-na GAIR-is.
*Date of Birth is for demographic tracking only - if you don't want us to know your date please just enter Jan 1 and your birth year. If you don't want us to know your birth year enter 0000
*Your pronouns could be: she/her, he/him, they/ them, ze/zir, or name only

Name

Name Pronunciation

Birthdate

Pronouns 1st choice

Pronouns 2nd choice

Your contact information:
*Your primary mailing address
*Your primary email address (your confirmation will be sent to this address)
*Your primary phone number, let us know if it is a mobile number and if we can text you
*Enter your secondary contact information

Address

This address will receive a confirmation email

Phone

Is this a mobile number?

Yes No

If this is a mobile number, can we send text messages?

Yes No

Secondary Address

Secondary Email

Secondary Phone Number

Is this a mobile number? Yes No

If this is a mobile number, can we send text messages? Yes No

Emergency Contact Information:
Enter Name, Relationship,Telephone number

Emergency Contact

If you are employed, tell us the name of your employer

Employer

Additional information about your household

Additional Adults in household - list name and relationship below

Children in your household. List here the names, ages, and relationship to you.

Other relationships within the congregation - not in your household (ex Bob Doe is my father)

Final Questions

Does any of this information need to remain confidential (For staff use only?) Please let us know what information should be confidential below:

Accessibility and Medical Needs: Are there needs that we can be aware of to help you feel welcome and included? Optional

Date these changes go into effect

Description

Please fill out this form with your updated information for the directory. It will take up to 72 hours for updates to be reflected in your profile.

Directory Updates

Description

Please Fix the Following