Candidate'S Disclosure Form

ADVERTISEMENT

THE UNITED METHODIST CHURCH
CANDIDATE’S DISCLOSURE FORM
¶324.12
Please complete this form, sign and date it, have your signature notarized, and return it to:
____________________________________________________________________________________
____________________________________________________________________________________
Have you ever been:
1. convicted of a felony:
_____No
_____Yes
2. convicted of a misdemeanor?
_____No
_____Yes
3. accused in writing of sexual misconduct or child abuse?
_____No
_____Yes
If you answered yes to any of these questions, please explain.
If you are required by this disclosure form to disclose any written accusations or convictions for felony,
misdemeanor or any incident of sexual misconduct that you dispute or believe should be explained in any
way, you have an opportunity at this time to include any additional information that you believe might be
helpful or important regarding the disclosure. Any relevant additional information should be provided in a
response statement attached to the form. (Note: It would be preferable if this response statement could be
included right on the disclosure statement; however, we realize there are space limitations on forms and
thus you might need to request that the statement be attached. Please indicate if pages are attached.)
I hereby certify that the information provided on this form is true and accurate.
Print Name
Signature
Subscribed and sworn this
Day of
201
Notary Public
BOM Handbook, Chapter 8, Candidacy and Candidacy Forms
Form 114/2013

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go