App 06 Transfer of Candidate to Holston Annual Conference from Another Annual Conference Name:
Address:
______________________________________________________________________
First
Middle
Last
______________________________________________________________________ Street
City
Best Contact # (______)________-__________ [__] Cell [__] Home [__] Work
Birthdate:
State
Zip
_________ _________ __________ Month
Day
Year
Email:
______________________________________________________________________
District:
[__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR
I affirm my desire to have my Candidacy transferred to the DCOM ______________________________ of the __________________________________ District of the Holston Annual Conference from the ________________________ District of the _________________________________Annual Conference.
The DCOM Registrar is: ______________________________________ and you may contact the Registrar at the following email address. I give permission for my current registrar to share with the DCOM to which I desire to have my candidacy transferred.
_____________________________________________ Signature
__________________________ Date
_____________________________________________ DS Signature
__________________________ Date
FOR DCOM USE:
__________________________
Date of initial meeting with DCOM:
Does DCOM recommend this person as a Supply Pastor (SY)? [__] Yes [__] No (list reasons) _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Please submit to:
[__] The Office of Clergy Services via ClergyServices@holston.org [__] DCOM 1 of 1
Updated: 2020-11