Application for Clergy Relationship to the Annual Conference

**NOTE: This form WILL NOT WORK if you are using Internet Explorer 7, please click here for more information.

Relation

Education

Marital Status

Occupation

Applicant Information

*Required Fields

Full Name*
Address*
City, State & Zip*	, (first 5 digits)
Home phone*
Cell, school or office phone*
E-mail address*
District*

Application Intent

Being fully persuaded that God has called me to be a minister of the gospel of the Lord Jesus Christ, I hereby request affirmation of that call by The United Methodist Church through the granting of a clergy relationship to the annual conference. The relationship for which I am applying is (*Please choose one)

Local Pastor ()

Part-time
Full-time
Student

Associate Membership

Provisional Membership

Deacon in Full Connection

Elder in Full Connection

At the same time that I am applying for this relationship to the annual conference, I am also applying for

Ordination as a Deacon

Ordination as an Elder

Recognition of orders granted by another denomination

Today's date

Biographical Information

Birth date*

Sex*

Marital status*

If married, spouse's name

Spouse's birth date

Date of marriage

Spouse's occupation

Your children, if any

Name	Date of Birth	Sex	Education

Dependents in addition to your spouse and children

Name	Date of Birth	Sex	Education

Your childhood family and other significant relatives

Ethnic origin

Local church*

City, State & Zip*

, (first 5 digits)

Conference*

Briefly describe your involvement in your local church, such as your leadership positions, groups you enjoy, church activities, etc.

Describe your church involvement in activities beyond your local church, such as district or annual conference work, church camps, workshops, outreach, etc.

Describe your community involvement and volunteer work, such as participation in community organizations, social clubs, service agencies, and other non-church-related volunteer service

Educational Background and Work Experience

	School Attended	Dates Attended	Degree or Credit Hours
High School
College
Graduate School
Additional Education Notes
Theological Seminary

Course of study for Ordained MinistryYr 1 | Yr 2 | Yr3 | Yr 4 | Yr 5

Advanced course of study

Semester hours credit

Your work experience, such as current employment, previous employment, and military experience, if any

Have you ever served as a local pastor, diaconal minister, deacon or elder in The United Methodist Church?Yes No

If yes, what conference?

Conference Relationship	Indicate Date
Consecrated Diaconal Minister
License as a Local Pastor
Associate Member
Probationary Member
Deacon in Full Connection
Elder in Full Connection

Have you had a change in clergy relationship with a conference of The United Methodist Church? Yes No

If yes, what conference?

Change in Conference Relationship	Indicate Date
Discontinuance
Leave of absence
Disability leave
Termination by action of the annual conference
Location
Retirement
Withdrawal

Site Design & Hosting by: