Form 105 - Application For Clergy Relationship To The Annual Conference
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THE UNITED METHODIST CHURCH
APPLICATION FOR CLERGY RELATIONSHIP TO THE ANNUAL CONFERENCE
____________________________________________________________________________________
First Name
Middle
Last Name
Address _____________________________________________________________________________
Street
City
State
Zip
Home Phone (_____)_____________________ School or Office Phone (_____)___________________
E-mail Address _______________________________________Birthday__________________________
Being fully persuaded that God has called me to be a minister of the gospel of the Lord Jesus Christ, I hereby
request affirmation of that call by The United Methodist Church through the granting of a clergy relationship to
the annual conference. The relationship for which I am applying is
_____ Local Pastor
_____ Part-time
_____ Full-time
_____ Associate Membership
_____
Provisional Membership
_____
Deacon in Full Connection
_____
Elder in Full Connection
At the same time that I am applying for this relationship to the annual conference, I am also applying for
_____ License for Pastoral Ministry
_____ License for Ministry of the Deacon
_____ Ordination as a Deacon
_____ Ordination as an Elder
_____ Recognition of orders granted by another denomination
Signature _____________________________________________ Date __________________________
An application for membership in full connection is to be sent to the registrar of the Board of Ordained Ministry.
An application for license as a local pastor, associate membership, or provisional membership is to be sent both
to the district committee and Board of Ordained Ministry.
Information on required documentation is located on the reverse side of this page.
BOM Handbook, Chapter 8, Candidacy and Candidacy Forms
Form 105/2013
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