3. If you are under appointment outside the conference of which you are a member, please complete the following:
Conference where you serve Bishop
District District Superintendent
For affiliate charge conference membership, give the name and address (including district and conference)
of the local church to which you relate.
Title/Position:
Agency/Institution:
Base compensation: (Year ) $
Utilities and other housing related allowances
Travel allowance other cash allowances
Please indicate you appointment category:
a. Agency or setting beyond the local church
b. United Methodist Church‐related agency, school, college, theological school, or ecumenical agency
c. Local congregation, charge, or cooperative parish
d. Endorsed by the General Board of Higher Education and Ministry
e. In service with General Board of Global Ministries
2. If your primary field of service is in the local church, give the name and address of the local church, district, and
conference.