Form 09 District Superintendent Effectiveness Report for Associate and Full Membership
Applicant Name: Email address:
____________________________________________________________________ ____________________________________________________________________
District:
[__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR
Relationship:
[__] Associate Member (AM)
[__] Full Deacon (FD)
[__] Full Elder (FE)
General Instructions: • The Candidate is responsible for uploading completed Form and any attachments to the DCOM registrar. Note to Applicant: • Contact your District Superintendent to request the completion of this form. It is likely that you will need to provide the DS with the form. Note to District Superintendent: • The person named above is under your supervision in a setting for ministry. The Board of Ordained Ministry needs your perceptions of this person and his/her effectiveness in ministry. Please respond to the following questions: (Use a separate sheet and include the Question # with your response.) 1. 2. 3. 4. 5. 6.
What evidence is there of this candidate’s effectiveness in ministry? Describe the strengths of this candidate’s ministry; the gifts and abilities which contribute to the candidate’s effectiveness. What concerns do you have about this candidate’s effectiveness in ministry? What has been the response of the congregation/ministry setting to which this candidate has been appointed? How would you characterize this candidate’s commitment to the United Methodist Church, its doctrine and polity? (Include a discussion of this person’s commitment to itinerancy if applicable.) How has this candidate responded to your supervision? What else would you like the District Committee and the Board to know about this candidate?
__________________________________________ __________________________ District Superintendent Signature Date
Please submit to: [__] The Office of Clergy Services via ClergyServices@holston.org 1 of 1
Updated: 2020-11