App 24 Application: Recognition of Orders from another Methodist Conference Name:
______________________________________________________________________ First
Address:
Middle
Last
______________________________________________________________________ Street
City
Best Contact # (______)________-__________
Birthdate:
[__] Cell [__] Home [__] Work
State
Zip
_________ _________ __________ Month
Day
Year
Email:
___________________________________________________________________
District:
[__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR
Current Clergy Status: ___________________________________________________________________ Current Methodist Conference: ____________________________________________________________ I am a member of another Methodist related conference and I desire to have my educational transcript (¶¶ 347, 347.2.c) evaluated with the desire of having my ordination recognized and becoming a member of the Holston Conference. I desire to have my ordination as an [__] Elder [__] Deacon recognized. I have attached all of my certified transcripts from all seminaries and universities that I have attended to this application. By signing below, I certified that I understand that after approval by GBHEM and prior to the Office of Clergy Services verifying to the Bishop and the Chair of the Board of Ordained Ministry (BOM) that I have met the educational requirements the following steps must be completed by me: 1. Psychological Assessment: There is a $400 fee associated with these various tests. You can follow the website below to process payment for these assessment fees. Once we have received your assessment fee our Ministerial Assessment Specialist will reach out to you to proceed. Payment website: https://holston-reg.brtapp.com/PaymentAssessmentFees 2.
Form 16: Notarized Disclosure: To complete your Notarized Disclosure report of sexual misconduct and/or child abuse. This website will provide the necessary form to complete this step: https://holston-reg.brtapp.com/Form16NotarizedDisclosure
3.
Safe Gatherings: To begin the criminal background and credit check. This website will provide the necessary steps to complete this process. https://www.holston.org/safegatherings
__________________________ Signature
_________________________ Printed Name
___________________ Date
___________________________________________________________________________________ _____________________________________________________________________________________ Please submit copies of this application to: [__] Director of Clergy Services via ClergyServices@holston.org
Updated: 2023-01
App 24 Application: Recognition of Orders from another Methodist Conference Office Use Only: Certified by the Director of Clergy Services: Approval steps: [__] Chairperson of BOM has been consulted on this request (Date: __________________) [__] Necessary items have been completed: [__] Certified Transcripts [__] Psychological report [__] Criminal Background and Credit Check (Safe Gatherings) [__] Form 16: Notarized Disclosure (reports of sexual misconduct and/or child abuse.) Certified by GBHEM: Th person named herein [__] does / [__] does not meet the GBHEM requirements for satisfactory educational requirements. __________________________ Signature
_________________________ Printed Name
___________________ Date
The Office of Clergy Services certifies that the person named herein [__] does / [__] does not meet the educational requirements. __________________________ _________________________ ___________________ Signature Printed Name Date ___________________________________________________________________________________
_____________________________________________________________________________________ Please submit copies of this application to: [__] Director of Clergy Services via ClergyServices@holston.org
Updated: 2023-01