SAM Quarterly Report Form
Quarterly Report For for Certified Synod Authorized Ministers
- Use this form to record dates and congregations where you presided over the use of the Sacraments
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Full name: 
What Quarter of the year are you reporting? (Indicate 3-month period). 
1st Month - Write which congregations you led, the date, and if you presided at Communion or Holy Baptism. The text box will expand with your answer. *
2nd Month - Write which congregations you led, the date, and if you presided at Communion or Holy Baptism.
3rd Month: Write which congregations you led, the date, and if you presided at Communion or Holy Baptism.
A copy of your responses will be emailed to the address you provided.
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