App 09 Application to serve in the Holston Annual Conference as an Elder from other Annual Conference and other Wesleyan denominations (OE) Name: Address:
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First
Middle
Last
______________________________________________________________________ Street
Best Contact # (______)________-__________ [__] Cell [__] Home [__] Work
Birthdate:
City
State
Zip
Month
Day
Year
_________ _________ __________
Email:
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District:
[__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR
Having been ordained in a Methodist related denomination and now desiring to serve, after consultation with a District Superintendent, within the Holston Annual Conference, I affirm that I am willing “…to support and maintain United Methodist doctrine, discipline and polity.” I also agree to supply the following documents to the District Superintendent and Director of Clergy Services:
[__] A copy of undergraduate / graduate transcripts [__] A copy of my ordination certificate from my current denomination [__] A copy of my Form 16 - Notarized Disclosure [__] Take and Release Required Psychological Tests / Reports [__] A copy of my Safe Gatherings Certification 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. _____________________________________________ 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 Methodist (OE) Appointment. If not recommended list reasons: _________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Please submit to:
[__] The Office of Clergy Services via ClergyServices@holston.org [__] DCOM 1 of 1
Updated: 2020-11