Contact Information Name(Required) Rev.Rev. Dr.Dr. Prefix First Last Email(Required) Phone(Required)Date of Birth MM slash DD slash YYYY Ordination Date MM slash DD slash YYYY PET Church/Ministry Affiliation/Membership(Required)At-Large MinistryBakers CreekBethelBig SpringCaledoniaCenterClover HillConcordCross RoadsEmmanuelErinEusebiaFairfield GladeFarragutFirst, ClevelandFirst, HarrimanFirst, HuntsvilleFirst, KnoxvilleFirst, LaFolletteFirst, Lenoir CityFirst, Oak RidgeFirst, RockwoodFirst, SeviervilleFirst, Soddy DaisyFirst, Spring CityFirst, SweetwaterFirst UnitedFork CreekFountain CityFourth UnitedGatlinburgGraystoneHighlandHope House - UTCHouston MemorialKorean, ChattanoogaKorean, KnoxvilleLake ForestLake HillsLancingMadisonvilleMars HillMaryville CollegeMowbrayNew CovenantNew HopeNew ProspectNew ProvidenceNorthminsterNorthsidePine GrovePowellRenaissanceRetired Minister TransferRivermontRocky SpringsSecond, ChattanoogaSecond, KnoxvilleSequoyah HillsShannondaleShilohUKirk - UTKValidated MinistryWartburgWashingtonWest EmoryWestminsterOtherHome Address(Required) Street Address Address Line 2 City ZIP / Postal Code
