Bielby, Carl E.
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PERSONAL INFORMATION SHEET
Identification
Public Relations and Methodist Information
No. ____/_____
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CAREFULLY.
These information sheets are prepared for multiple use--thus some of the
questions asked may :1ot ba relevant in your sit:.1atj.on.,
Please fill out as fully
as pocsible. USE TYPE~T-I~R~ If more space is needed, use back of sheet or
aadit io~al sheets.
Be ~ure to use the number of the questions so we can identify
your statements.
Copies of News Release will be sent to papers or Radio Stations which you list
belvw. If you wish a picture sent in addition to the story, please check the
proper space below.
ADDRESS
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are availabl 13--Fill in one f or each of the above listings.
rum ADDP..ESS I S
~URRECT
ON MAILING !J\BELS.
DIEl.nY, CA RL ELLIOTT - ( T., DoL
ISOZ ;
F .,
19G<I).
1960 Owosso :
First
(A ,soc.); 1961 De t roit : A sbury: 1963 War·
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ltrs: \.\ssnc.·. t. 19f;,., D1r. ~c. Serv
ICC:: 'I S•.: l·.un: l y L1ie. I h: t. ( "c u:1. of Churches,
G' I· <"o:un:iJLl -~-'(Jl . l 'h. 961·03·10. !lome:
29;i, Mil ton, Mad"vu llgt s. Ph. 547 -SJOS.
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-=F:;;.--=-/-~~~;.;."'-------Your Parents name,_ _ _"'-/l+-'«'-f;t-....:=.id'._;.v.;~-<. "';.
;. ...._ __;.;;LJ~I.-..e\..!.4.;;:;~~1t....--------Their Address_ _ _ _-~./:. . .~: . . . . J'
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~;.....;.;..:;C~f.~c..;~~-------------
8.
Your Home Town_ _
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Ord~atipn to
be reeeived at this conference._ _
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(The place you call home)
9. Recommended for License to
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8"_ _
by the Quarterly Coni"erence
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10.
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If a Conference Member--when were you received.
a.
b.
c.
u.
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On trial·------------~where--r~~-----0("-----(which conference}
Full Membership
--:--~and
--rwhen)
(what conference)
Transfered to Detroit Conference.__,.._ -""_ __.from --r~~-~--~-(when)
(what conference)
Education:
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a. High School.---ft<J~: :; .5::.....,._~..;..;"--..:....._;_Az/.;...:.,.,,"t~~~__grl'/
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Name 1
where
when graduated
b . College.______~
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loeated at
c.
Semi nary·_ _ _
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degree
LJ, 4 year granted
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1ocated at ____
_____,year
degree._ _'""ll_i2=--~
grant ed._ _.....:../--'-'t-:;..t"...::O::;..__ _ _ __
d.
Post Graduate _ _ _.;. ,lt;. :.,...;;~;...{
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Honors or Honary Degrees·- - - - - - - - - - - -- -- - - - - - -
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12.
Present Conference Relaticmship._ _....::a~~-J.i~/1.~;e--~;;;,;.1_ _ _ _ _ _ _ _ _ __
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Position you have held in Church, lvJYF, MSivi, etc ·-~/:_..r_1 ~e. .; .s: .·o~&~~"Y...~.
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14. Member
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of Conference Committee______________________
15. Positions or occupation before entering ministry:_____________
16. Churches served.________!SP~r~~ui~~-S-.5~o_____<f~~-~--5~~----------------------
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17 • Responsibilities or Activities in Community Affairs, where you live_ _ __
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18. Harital Status
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If VJarried
Her Home
Your Children--Names and ages
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n space below or on separate sheets add any items which you
thin~
interest to the public.
may be of
If you are not planning to be present continuously through the Conference,
when do you plan to return
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