Update NID Worker Contact Information – Northern Illinois District

Name*

Prefix First Middle Last Suffix

Birthday (format mm/dd/yyyy)

Address*

Street Address Address Line 2 City State ZIP Code

Work Phone

Home Phone

Mobile Phone

Primary Email*

Secondary Email

Spouse Name

Prefix First Middle Last Suffix

Spouse Email

Current Assignment/Ministry

Year of Ordination/Commissioning

Choose "No Current Assignment" or fill in "Place of Ministry"

Place of Ministry

Ministry Address

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

LCMS Roster Status: Please check ONE below:

Your LCMS Classification: Please check ONE below:

If candidate or emeritus, include your circuit number. (Out of state is 0)

Current Ministry Position: Please check ONE below:

Check to request School News email subscription

Check to request NID email newsletter subscription

NID email newsletter (bi-monthly general district events and non-called ministry positions to fill)

Check to request Parish Administrators network group emails

Check to request NID Communicators network group emails

NID Communicators (Workers in communications, marketing, public relations, school admissions roles)

Check to request Parish Professionals network group emails

Parish Professionals (Workers in youth, children, small groups, adult ministry, non-pastor/teacher roles)

Name

This field is for validation purposes and should be left unchanged.