App 22 Application: Request to Continue Previously Approved Honorable Location (HL) (Âś358) Name: Address:
______________________________________________________________________
First
Middle
Last
______________________________________________________________________ Street
City
State
Zip
Best Contact # (______)________-__________ Birthdate: _________ _________ __________ [__] Cell [__] Home [__] Work Month Day Year Email: ______________________________________________________________________ Clergy Status: [__] Full Elder [__] Full Deacon [__] Associate Member District: [__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR Charge: ______________________________________________________________________ Having been previously approved, I would like to request that I remain on Honorable Location for the next annual conference year. Original Honorable Location became effective:
_________ _________ __________ Month Day Year
Please remember that this request should be submitted by January 1st of each calendar year.
__________________________ _________________________ ___________________ Signature Printed Name Date _____________________________________________________________________________________ Please submit copies of this application to: [__] Chair, Board of Ordained Ministry [__] The Office of the Bishop [__] The Conference Secretary via ConferenceSecretary@holston.org [__] Current District Superintendent Office Use: Month Day Year Date BOMEC/BOM approved request: ___________ _________ _________ Annual Conference Clergy Session __________ [__] did / [__] did not approve this request. AC Year
Updated: 2020-11