2017 CHARGE CONFERENCE FORM #8

Clergy Appointment Request

Instructions: This report is to be completed by clergy appointed by the Resident Bishop and returned to the District Superintendent by 12/1/2016. This form is not a public document and shall not be included in the Charge Conference packet for distribution.

If you need additional space, attach separate pages and note below. Information from the entire Appointment Request form is used in the appointment process, as well as information from the Clergy Salary & Benefits form. If your Salary & Benefits form has not yet been completed, please submit a draft with this appointment request.

The information forms a request only. The Bishop and the Cabinet take this information into consideration as one of many factors in the appointment process.

I. ABOUT YOU

CLERGY NAME CONFERENCE RELATIONSHIP

Full Member Local Pastor

Provisional Member Other (Specify below)

YEARS IN PRESENT TOTAL YEARS (NOT SCHOOL)

APPOINTMENT AS OF JUNE 30 OF THIS YEAREXPECTED YEAR OF RETIREMENT

  1. ABOUT YOUR PRESENT APPOINTMENT

DISTRICTCHURCH CITY CHURCH NAME

\\

CHURCH STATISTICS / 2010 / 2011 / 2012 / 2013 / 2014 / 2015 (to date)
Apportionment Giving (%)
Worship Attendance

IS THIS CHURCH RECEIVING EQUITABLE COMPENSATION?NEW MINISTRIES FUNDING?

District /other funding for salary/benefits (describe)?

How has the congregation changed or been transformed during your tenure? What have you found most satisfying about the appointment, community, and congregation? What has been most challenging?

Please share a list of Continuing Education events and "key learning(s)" from your most recent learning experience. How have you utilized or implemented this information or practice(s) within your current ministry context?


  1. CLERGY FAMILY INFORMATION & CONCERNS

MARITAL STATUS NAME OF SPOUSE

Dependents Living At Home / Relationship / Age / Special Needs or Concerns
Dependents Living / Relationship / Age / Special Needs or Concerns

Special family considerations that may need to be taken into consideration as the Bishop and cabinet considers your next appointment.

In my present appointment, the housing arrangement is

PARSONAGE at (specify address):

Does it meet parsonage standards outlined in Conference Rules?

HOUSING ALLOWANCE of per year. It is a rental / purchase.

  1. APPOINTMENT REQUEST

Whether you are requesting a change of appointment or not, please share the type of ministry or assignment you would most welcome in your future.


If you have additional concerns about your present appointment or from contemplating the next few years, please share them here:

For the next appointment year, my request is to:

RETURN (I would like the Bishop to reappoint me to this position.)

MOVE (I would like the Bishop to appoint me to a different position.)

EITHER (I would be open to being moved or returned by the Bishop in the appointment process.)

OTHER (Retire, Leave of Absence, School, Medical, Sabbatical, Extension Ministry, Etc.) Specify and attach

a page to describe the basis of this decision.

HAVE YOU INFORMED THE PASTOR-PARISH RELATIONS COMMITTEE OF YOUR REQUEST?

SIGNATURE OF DATE:

PASTOR

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