Clergy Info Update Form

Please use this form to update your records for contact information.

Note: This form is not a replacement for appropriate clergy licensure, which can be accessed here.

(* Denotes Required Fields)

Name and Family
Title: *
First Name: *
Middle Name/Initial:
Last Name: *
Suffix:
Name Preferred to be Called:
Preferred Form of Address:
Note: In our database, we use "The Rev." as a title, but we do not use "Rev." as a salutation.  
Spouse Title:
Spouse First Name:
Spouse Middle Initial/Name:
Spouse Last Name:
Spouse Suffix:
Position
Status: *
Church Name and Location (of employment):
Church Name and Location (of attendance):
Title:
Title Examples: Rector; Priest-in-Charge; Interim Rector; Associate for Youth & Family Ministries 
Position Start Date (or Expected Start Date):
Contact Information
Home Phone:
Business Phone:
Cell Phone:
Preferred Phone:
Personal e-Mail Address:
Business e-Mail Address:
Preferred e-Mail Address:
Address 1 
Address 1 - Type:
Physical and/or Mailing? :
Address 1 Line 1 (Street Address, Apartment):
Address 1 Line 2 (City, State, Zip):
Address 2 
Address 2 - Type:
Physical and/or Mailing?:
Address 2 Line 1 (Street Address, Apartment):
Address 2 Line 2 (City, State, Zip):
Communications
Please indicate your status/preferences below.  
It's most helpful for clergy to receive all three of the communications below to stay up-to-date! Folks new to the Diocese are added to mailing lists by completing this form, so your answer will most likely be "No, but I would like to subscribe."  
I receive the e-Communique weekly newsletter via e-mail.: *
I receive the Clergy Communique monthly newsletter via e-mail.: *
I receive the Virginia Episcopalian magazine.: *
Comments
Please provide us with any other pertinent information.: