Fitch, Douglass E.
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P e r s o na l I nf o r n~ticn She0 t
COi1i1ISSION ON PUBLIC REL:.T IOj\TS
a nd METHODIST I N.~'ORM:.TI 0~-I
Det r oit Annual C o !1r~ :~e nc e ,
THE UNITED i1ETHuDIS T CHlJ.l-iCH
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2.
Dirthdat e
N.:1oe
Present pos i t i on
Assoc. ]), t"e cfv~
/ CJ6cf
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D-e f rtJ.f Indv sfv-,~ / f)1,; s,'vn
( Minister , ~ssocicte , Student , e t c. , )
f'(,1'6 ~r,· h n A ve.
Pr e sent Address :
4.
)/ov. .J ~
( as y o u wish it used in Pt::.l)ers)
f: // /1evnhett
Pr esent Con f e r e nce Tie l c.t i onship
( p le~s e i nd ic ate -- S up~ ly , Deac c n , El der , O. T. , Full
If t he r e i s t o be a c ha nse i n t he
r e l~tionship
~l~obe r ,
e tc)
a t Co nf er e nce ,
i n di cat e t ha t chance-- t o
I f t o be o r dai ned a t c onference , i ndicate
o r di na tion t o be r e c ei v ej- f ic . L . D., L . E . 1
:;.
73u-fA / eceaJe j
Yo ur Pa ren t ' s Naoe
( If liv in ~ )
E .1 D ~)
fj,. 'I fi?tts.
Their ~dd r e ss
7
6.
Your Hone Town
'1/ .
Re c onr.Je nded for Li cense t o Pre ~ ch
I rs s-
::....::::~----
by the Qua r terly
(when )
of
8.
Scrvy,~ /01emcr.·q J ( f1.[. { h.d'ch
If a Confer e nce Meober
On Tria l
-- ~ h e n
------------
Full Mer.Jb ershi p
Church
wer e y ou r e c ei ved ,
Whet t Conference
Wha t Co nference
-------------------
~--------------------
If a t r a nsf er t o De t r oit Conference , when
1 0.
Ed ucati on :
Wher e
Graduate d fr on
l o c ~ t ed
Locat e d at
_ what y ea r
G r- eev\lJ. //e. , I //.-(\ cJ , -1
Decr ee c;r nnt e d
--~]3:;. ~-~A
.~·------Year
grant e d
J9ff
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INFO:-li·t ~TI ON
SHEE'i'
FOR
. ; ,"~":Ju ist"i ~_ o n on Public :Jelo.tions
.. ~,.:. i:c t hodi st Infa r no. tion
.(;·.r)
1 0 . Educatio n c o ntinue d :
Other Collece______________________
I ?6 I
Post graduate
Ho nors or Honoro.ry DeGrees
11 .
Menber of Conference Coooitt0es :
12 .
Responsibilitie s o r Activitie s in
13.
Marital Status :
Single
-----------------------------------C cu~ unit; ~ ffa irs ,
Married
~
wh e re you live ,
Widower
{har~L--P-e-or- / J; vfor<.
rn,e. +j'/1R f . Blm·1r·f"f-etk_ [;~!art.
If carrie d : Wife 's r.w.iden nan-:-Her Parent's Nar.1e
()~k f~n J, ~ /.foru, ;~
Her hone t own
;;
/
Her Parents,
pr esent Addr e ss
If y o u
]) 0 ..,
h ~v e
children ,
/,u f . r:::frl
9
naoe s, .pl0~se ,
o.nd a ge s if at hooe .
][ ,)f mo r.
In the space b el ow , o n the bo.ck o f this sheo t ~ r an addit i onal shee ts
plense add any ite o s y ou think nay be o f i n tor cst t o the public .
(such as occupati on before entering oinistry , unusual hobbie s,
trave ls, e tc) ALSO --LIST CHURCHZS YOU ILV~ SE1~VED fo
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