The United Methodist Church
Appointment to an Extension Ministry
NAME
BUSINESS PHONE ( ) HOME PHONE ( )
FAX ( ) E-MAIL
BUSINESS ADDRESS
CITY STATE ZIP
HOME ADDRESS
CITY STATE ZIP
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HOME
PREFERRED ADDRESS FOR MAILING PURPOSES AND FOR INCLUSION IN JOURNAL:
❑
BUSINESS
FULL MEMBER PROVISIONAL MEMBER ASSOCIATE MEMBER LOCAL PASTOR
OF ANNUAL CONFERENCE
CHARGE CONFERENCE MEMBERSHIP DISTRICT
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
Affiliate charge conference membership
TITLE/POSITION
AGENCY/INSTITUTION
BASE COMPENSATION (YEAR ) $
UTILITIES AND OTHER HOUSING RELATED ALLOWANCES
TRAVEL ALLOWANCE OTHER CASH ALLOWANCES
PLEASE INDICATE YOUR APPOINTMENT CATEGORY: (¶ 344.1)
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a. Appointed within the connectional structure
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b. Endorsed by the UM Endorsing Agency within the General Board of Higher Education and Ministry
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c. In service with General Board of Global Ministries
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d. Appointed to other valid approved extension ministry
Attach: 1) a brief narrative of your ministry during the past year including a copy of your annual evaluation; and 2)
evidence of your continuing education and spiritual growth program and future plans. (¶ 344.2)
Date SIGNED
SEND COPIES TO:
1.
Bishop
2.
District Superintendent
3.
Board of Ordained Ministry
4.
Conference Secretary
5. Bishop of area in which you serve, if other than area of which you are a member
A copy of this report may be used to inform the Charge Conference(s) of which you are a member and an affiliate member in
keeping with ¶316.1 and 344.3 a,b.
*A copy of this report should be used to inform the United Methodist Endorsing Agency, PO Box 340007, Nashville, TN 37203-
0007 in keeping with ¶344.1b.
THE GENERAL COUNCIL ON FINANCE AND ADMINISTRATION
Revised 2/2017
