App 07 Application to join the Residency in Ministry (RIM) of Holston Annual Conference Name:
Address:
______________________________________________________________________
First
Middle
Last
______________________________________________________________________ Street
Best Contact # (______)________-__________ [__] Cell [__] Home [__] Work
City
Birthdate:
State
Zip
_________ _________ __________ Month
Day
Year
Email:
______________________________________________________________________
District:
[__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR
Appointment: ______________________________________________________________________ Relationship:
[__] Provisional Deacon (PD) [__] Provisional Elder (PE)
[__] Associate Member (AM)
Having completed all seminary requirements and having been elected as a Provisional Member of the annual conference, I desire to be included in the RIM Cohort formed following annual conference. I realize that RIM is required for the three years of the Provisional process and that there will be mandatory sessions that I must attend along with other between session assignments.
___________________________________________ Signature
__________________________ Date
Please note, this is not a DCOM form. Please submit to:
[__] The Office of the BOM Registrar via ClergyServices@holston.org [__] Director of RIM via revddh@gmail.com 1 of 1
Updated: 2020-11