Church Staff Update Form - Mississippi Baptist Convention Board

If you have any questions please contact Vesta Clary at vclary@mbcb.org or 601.292.3310

Are you an Association or Church?*

Name*

First Last

Email*

Phone*

Association*

If applicable provide the association email address that should also receive a copy of this submission.

Church (Church Name / Church City / Church Number)*

Position

If Other Position, Please Define

Is this an interim position?

Select whether you are adding a new record, changing an existing one or deleting one by selecting Add, Change or Delete*

If this is a delete request is the person (choose one)

Title

First Name*

Middle Name

Last Name*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Birthday

Email

Home Phone

Business Phone

Cell Phone

Additional Comments