THE UNITED METHODIST CHURCH



Biographical Information Form

(per Para. 324 of the 2016 Book of Discipline)

Hit your tab key to advance fields, or click in the field with your mouse/pointer.

Date:      

Full Legal Name (First, Middle, Last):      

Home Address:      

Home Phone (including area code):      

Birth date (mm/dd/yy):      

Sex: (male or female):

Marital status: If so, what is your spouse’s name?      

Anniversary?      

Do you have children at home?

If so, what are their names, dates of birth, and sexes?      

Ethnic Origin:

Where is your Church Membership:      

Annual Conference:      

Sub-District:      

If you are currently employed by or appointed to a local church or other church agency, please give the name, address, and phone number of your appointment.

     

Briefly describe your involvement in your local church, such as leadership positions, groups you enjoy, church activities, etc.

     

Describe your church involvement in activities beyond your local church, such as district or annual conference work, church camps, workshops, outreach, etc.

     

When and where did you attend and graduate from:

High school?      

College?      

Graduate school(s)?      

Theological seminary?      

Course of Study for Ordained Ministry:

Advanced Course of Study:

Describe your community involvement and volunteer work, such as participation in community organizations, social clubs, service agencies, and other non-church-related volunteer service:

     

Briefly describe your work experience, such as current and previous employment, and military experience, if any.

     

Have you served as a local pastor or ordained minister in the United Methodist Church?

If so, where and when?      

What is your current conference relationship (Indicate date)

Certification as a candidate for ordained ministry:      

License as a Local Pastor:      

Associate Membership:      

Provisional Membership:      

Membership in Full Connection:      

Have you had a change in clergy relationship with a conference of the United Methodist Church?

If so, which conference?      

Indicate the nature and date of the change below.

Discontinuance as Local Pastor      

Discontinuance from Provisional Membership      

Disability Leave      

Honorable Location      

Administrative Location      

Retirement      

Withdrawal to unite with another denomination      

Surrender of ordained ministerial offices      

Withdrawal under complaints or charges      

Termination by action of the annual conference      

Return this form via email to Brian Martin, Registrar for Elders and Deacons, brianmartin1970@. If you have questions, email Brian or call (307) 630-8957.

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