Parish Ministry Cover Page

Application For Renewal of Preliminary Fellowship

Instructions:

  1. This form is to be completed by the minister applying for renewal of fellowship.
  2. For hybrid ministries or ministers in multiple settlements, please fill out a separate cover page for EACH settlement you are currently serving.
  3. This form is to be only used for parish based settlements only. Community settings: please use the Renewal Application Cover Page for Ministers in a Community Setting.
  4. Please email all evaluation materials to:

Minister’s Name: Current Date:

Period being evaluated: From: To:

Address:

Phone: Email:

Application for: 1st renewal2nd renewal final renewal

Check One:Parish MRE

Congregation:

Congregation’s Address:

Congregation’s Phone:

Current Position of Renewal Applicant:

Position is: Full Time Half-Time Quarter Time Other (# of Hours/week)

Is Congregation a Fair Share Society? Yes No

Location of Congregation: Urban Suburban Rural

Total Congregational budget:

Number of Members: Number of children registered:

Has this congregation engaged in anti-racism/anti-oppression/multiculturalism

training or activities in the past year?Yes No

Paid Parish ministry position(s) in this church may be described as:(Please ‘X’ all that apply next to the description(s) of the position(s) and indicate FT for full time and PT for part time for all ministerial positions in the congregation.) Include your own ministry position.

Interim / FT or PT? / Associate / FT or PT?
Settled / FT or PT? / Assistant / FT or PT?
Intern / FT or PT? / Co-ministry / FT or PT?
Extension / FT or PT? / Student / FT or PT?
MRE / FT or PT? / Music / FT or PT?

Other (Describe):

Has your congregation affiliated with a community minister? Yes No

If yes, Name of affiliated community minister/s:

Paid Religious Education leadership positions in this church may be described as:

(Check all that apply and indicate FT for full time and PT for part time.)

Minister of Religious Education FT or PT?

Director/Coordinator of Religious Education FT or PT?

Office support positions in this church may be described as:

(‘X’ all that apply)

Full time(Number of positions: )

Part time(Number of hrs/wk:)

Other Staff Positions:

Committees in church/organization include: (‘X’ all that apply)

Worship / Board of Trustees / Religious Education
Social Action / Parish Service/Caring / Building/Maintenance
Music / Membership / Finance/Investment
Committee on Ministry/Ministerial Support

Other Committees:

What, if any, honors or rewards have you received?

MENTOR INFORMATION

Who is your mentor?

Have you been meeting with your mentor monthly for at least an hour during this past renewal period? Yes No

If no, please provide further explanation:

Have you provided a copy of your application for renewal of fellowship to your mentor for review and consultation? Yes No

If no, please provide further explanation:

A SEPARATE MENTOR FORM MUST BE COMPLETED BY YOUR MENTOR AND SUBMITTED BY YOUR MENTOR TO AS PART OF YOUR RENEWAL APPLICATION

Please note current application deadlines:

February 1 -- for renewal decisions in May.

July 1 -- for renewal decisions in November.

November 1 – for renewal decisions in February.

Materials received after the deadline will be considered at the next meeting.

Please email all evaluation materials to:

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