Circuit Elder Contact Report
Circuit Elder Name
Circuit Elder Email Address
Type of Contact
Contact with a pastor
Charge Conference with Congregation
Circuit gathering of the pastors
Congregational Lay Leadership Gathering
Contact with a Lay Church Leader (please identify leader in the report's Question 1 below)
Date of Meeting/Contact
Ulysses Washington - Central (CE) Office
Zach Roberts - Northeast (NE) Office
Blake Bradford - Northwest (NW) Office
Edna Morgan - Southeast (SE) and Southwest (SW) Offices
Name of Church/Charge (if not a circuit-wide meeting)
Name of Pastor (if not a circuit-wide contact/meeting)
1) Describe the Contact
2) What next steps are the pastor/congregation going to take?
3) What does the District Superintendent need to know?
Follow Up Plan:
No follow-up needed
I will be following up with the Pastor
I need a call from the DS about the situation
NOTE: In situations of concern, please complete this form and then immediately
your district superintendent.
Once you click "submit," your Circuit Shepherd Contact Report will be
emailed to the District Office, with a receipt emailed to you.