App 08 Application to serve in the Holston Annual Conference as an Other Fellowship (OF) Name:
______________________________________________________________________________ First
Address:
Middle
Last
______________________________________________________________________________ Street
Best Contact # (______)________-__________ [__] Cell [__] Home [__] Work Email:
City
Birthdate:
State
Zip
_________ _________ __________ Month
Day
Year
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Denomination: ______________________________________________________________________________
District:
[__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR
Having been ordained in another denomination, and after discussion with a District Superintendent, I desire to serve in the Holston Conference. I understand that this is a process and I agree to fully participate in the process which will involve submission of documents and written work to the Conference Relations Committee (CRC) and the District Committee on Ordained Ministry (DCOM) to which I will relate. I also agree to undergo medical and psychological assessments required of ministers seeking to serve in the annual conference. I realize, that my credentials may or may not meet the standards as set forth by the United Methodist Church and that I can serve without full recognition, but that this will limit my ability to vote and hold offices within the Annual Conference. I also affirm that I am not guaranteed an appointment within the Holston Annual Conference, but that I serve on an as needed basis until my credentials are fully recognized and I apply for membership in the Annual Conference. With this in mind…. I [__] do / [__] do not (mark one) currently seek to have my credentials recognized as equivalent with those of the United Methodist Church by the Board of Ordained Ministry. If I selected that I seek to have my credentials recognized as equivalent with those of the United Methodist Church by the Board of Ordained Ministry I also seek to serve in relationship as a [__] Provisional Deacon (PD) / [__] Provisional Elder (PE) (mark one). _____________________________________________ Signature
________________________________ Date
District -- Report of DCOM Action: Date this person met with the DCOM: __________________________ The DCOM [__] does / [__] does not recommend this person for an Other Fellowship Appointment. If not recommended please list reasons: ______________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Please submit to: [__] The Office of Clergy Services via ClergyServices@holston.org [__] DCOM 1 of 1
Updated: 2021-12