Form 102 - Biographical Information - General Board Of Higher Education And Ministry Page 4

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Work Experience: (current employment, previous employment, and military experience, if any.)
Have you previously served as a local pastor, diaconal minister, deacon, or elder in The United Methodist
Church?
Yes
No
If Yes, What Conference? __________________________________________________
Conference Relationship
DATE
DATE
Diaconal Minister
Provisional Member
Local Pastor
Deacon in Full
Connection
Have you had a change in clergy relationship with a conference of The United Methodist Church?
Associate Member
Elder in Full Connection
Yes
No
Change in Conference Relationship
DATE
DATE
Discontinuance
Administrative Location
Leave of Absence
Honorable Location
Medical Leave
Retirement
Termination by Annual
Withdrawal
Note: If additional space is needed please use a separate sheet of paper and attach this form.
Conference Action
Candidacy/Conference Relations Forms, 2017-2020

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