Personal Profile Form - Lay People

PERSONAL PROFILE–Lay People

1PERSONAL BACKGROUND

Name: / DOB
Address:
PC
Telephone: / Mobile:
Email:

1.1Are you a confirmed member of the Uniting Church?

YES / NO
3
Congregation:

2MINISTRY

Have you previously served in a placement as a Pastor?
Have you previously served in a ministry appointment as a Pastor?

3EDUCATION AND EXPERIENCE

3.1Present and Previous Ministry Placements/ appointments

Please list most recent position first and then previous or other positions

Placement/ appointment / Date From / Date To

3.2Other Relevant Employment or Experience (paid or voluntary)

Please provide details

Position / Date From / Date To

PLACEMENTS – PERSONAL PROFILE (Private & Confidential)

3.3Education

Degree/Diploma/Certificate / University, College or Institute / Year of completion

3.4Continuing Education and Conferences

(Please list significant courses, continuing education programs etc attended over the last 5 years and include any special use of study leave).

Continuing Education & Conferences / Year / Duration

4REFLECTION ON MINISTRY

4.1What areas of your work have provided you with the greatest satisfaction in the past 3 years?

4.2What areas of your work have provided you with the least satisfaction?

5PERSONAL INTERESTS

5.1What community interest, sports and hobbies have you followed over the past 5 years?

PLACEMENTS – PERSONAL PROFILE (Private & Confidential)May 2016

6MINISTERIAL GIFTS AND PRIORITIES

Below are eighteen ministry, mission and pastoral activities with space for you to list an additional “skill”.

Mark your level of skill and giftednessfor each of these activities with a capital “X”
“H” = High Skill“M” = Medium Skill“L” = Low Skill
Identify the priority that you wish to give to this activity in the next 5 years of your ministry

Please limit the High Priority rating (H) to no more than five activities.

Gifts/Skills / Priority
H / M / L / H / M / L
Assisting congregations in vision for mission
Assisting people and groups to work through difficult issues
Caring for marginalised people in the local community
Developing covenantal understanding and relationships with indigenous people
Developing cross cultural understanding, relationships and ministry
Enabling, training and supporting lay leadership of worship
Engaging in new mission initiatives beyond traditional structures
Establishing new worshipping communities
Fostering ecumenical understanding and practice
Fostering mission and service in local community
Knowledge of church administrative procedures and finance
Leadership of worship and proclamation of the gospel
Nurturing people in their faith, spiritual development, and capacity to share faith with others
Pastoral care and visitation
Reflecting theologically with the church and unchurched
Working on issues of social justice and advocacy
Working with older people
Working with people in the first third of life
Other:

6.1What languages are you able to communicate in other than English?

PLACEMENTS – PERSONAL PROFILE (Private & Confidential)May 2016

7PERSONAL STATEMENT ON MINISTRY

Please outline the important characteristics of your ministry. Avoid generalised statements which carry little meaning. In particular, please refer to your faith and theology, leadership style, community involvement and working methods and your vision for ministry.

PLACEMENTS – PERSONAL PROFILE (Private & Confidential)May 2016

8FAMILY

Please provide information where applicable.

Name of Partner:
Children / Birth Date / With you in Placement?
Yes/No/ Undecided

8.1Facilities required for family members

(Please insert a capital “X”)

PreSchool / Secondary School / Special Medical
Primary School / Tertiary Institution / Employment
Other comments

9PLACEMENT INFORMATION (Y = Yes, P = Possible, N = No)

9.1Availability

Full Time / One Minister Placement
Part Time / Multi-Minister Placement

9.2Ministry Type Preference

a / Congregational Base / k / Multiple Congregations
b / Small / l / Agency
c / Medium / m / Faith Community
d / Large / n / In Community
e / Regional / o / Resource Agent
f / Rural / p / Presbytery, Synod or Assembly Leadership
g / Urban / q / Multicultural
h / Suburban / r / Change Agent
i / Isolated / s / Starting something new
j / Remote
t Chaplaincy: / (please specify)
u Other: / (please specify)

9.3Presbytery/Synod Availability

VT1 Gippsland
VT2 Loddon Mallee
VT3 North East Victoria
VT4 Port Phillip East / New South Wales
VT5 Port Phillip West / Northern
VT6 Tasmania / Queensland
VT7 Western Victoria / South Australia
VT8 Yarra Yarra / Western Australia
Other comments

10REFEREES

Please name 3 people from whom a confidential reference may be sought with your permission. Contact details to be provided as required.

Name:
Position/ Relationship:
Name:
Position/ Relationship:
Name:
Position/ Relationship:

11SIGNED

Signed:
Please print name:
Date:

12PRESBYTERY COMMENTS TO BE PREPARED BY THE PRESBYTERY PRC

12.1Does this person participate regularly in Code of Ethics sessions?

YES / NO

12.2Does this person have a current Working with Children Check/ Registration?

YES / NO
WWCC/R Number
Expiry date of WWCC/R

12.3Does this person have regular Professional Supervision?

YES / NO

12.4Does this person have a Continuing Education plan?

YES / NO

12.5What comment would the Presbytery like to make about this person’s exercise of ministry in the current placement/appointment?

12.6Please comment on the person’s involvement in the life of the Presbytery and wider church.

12.7What comment would the Presbytery like to make about this person’s gifts, skills, or particular needs in relation to the next placement?

13SIGNED

PRESBYTERY / MINISTER
Name: / Name:
Date: / Date:

PLACEMENTS – PERSONAL PROFILE (Private & Confidential)May 2016