SR AO 04 - Local Pastor Continuance / Discontinuance Recommendation

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LP: Continuance recommendation

Name:

DCOM Registrar

District: [__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR

Note: On this form you will list all Persons for which a vote is taken and place the date of the vote in the appropriate column.

Discontinuance Codes:

FT – for transfer to another annual conference

FP – for failure to progress in COS

OC – other cause/reason as determined by DCOM/DS

Please submit copies of this form to:

[__] DCOM file

[__] The Office of Clergy Services via DCOMConcerns@holston.org

Updated: 2023-10

Summary Report Action Outline SRAO04
Local Pastor Date of Vote: Continuance Discontinuance Effective Date Last First Date Date Code Sample Pastor 2023-10-01 OC 2024-01-01

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