Appointment To An Extension Ministry - The United Methodist Church
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1The United Methodist Church
Appointment to an Extension Ministry
NAME______________________________________________________________________________________________
BUSINESS PHONE (_____)__________________________HOME PHONE (_____)____________________________
FAX(_____)________________________________________E-MAIL___________________________________________
BUSINESS ADDRESS_________________________________________________________________________________
CITY______________________________________________STATE__________________ZIP______________________
HOME ADDRESS____________________________________________________________________________________
CITY______________________________________________STATE _________________ZIP______________________
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HOME
PREFERRED ADDRESS FOR MAILING PURPOSES AND FOR INCLUSION IN JOURNAL:
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BUSINESS
FULL MEMBER______ PROVISIONAL MEMBER______ASSOCIATE MEMBER_____LOCAL PASTOR_________
OF_________________________________________________________________________ ANNUAL CONFERENCE
CHARGE CONFERENCE MEMBERSHIP____________________DISTRICT___________________________________
If you are under appointment outside the conference of which you are a member, please complete the following:
Conference where you serve__________________________________________Bishop_________________________
District_______________________________________District Superintendent________________________________
Affiliate charge conference membership_______________________________________________________________
TITLE/POSITION____________________________________________________________________________________
AGENCY/INSTITUTION______________________________________________________________________________
BASE COMPENSATION (YEAR______________) $________________________________________________________
UTILITIES AND OTHER HOUSING RELATED ALLOWANCES____________________________________________
TRAVEL ALLOWANCE________________OTHER CASH ALLOWANCES____________________________________
PLEASE INDICATE YOUR APPOINTMENT CATEGORY: (¶ 344.1)
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a. Appointed within the connectional structure
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b. Endorsed by the UM Endorsing Agency within the General Board of Higher Education and Ministry
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c. In service with General Board of Global Ministries
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d. Appointed to other valid approved extension ministry
Attach: 1) a brief narrative of your ministry during the past year including a copy of your annual evaluation; and 2)
evidence of your continuing education and spiritual growth program and future plans. (¶ 344.2)
Date_____________________________________SIGNED____________________________________________________
SEND COPIES TO:
1. Bishop
2. District Superintendent
3. Board of Ordained Ministry
4. Conference Secretary
5. Bishop of area in which you serve, if other than area of which you are a member
A copy of this report may be used to inform the Charge Conference(s) of which you are a member and an affiliate member in
keeping with ¶316.1 and 344.3 a,b.
*A copy of this report should be used to inform the United Methodist Endorsing Agency, PO Box 340007, Nashville, TN 37203-
0007 in keeping with ¶344.1b.
THE GENERAL COUNCIL ON FINANCE AND ADMINISTRATION - 2009
THE UNITED METHODIST PUBLISHING HOUSE
2004
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