BOARD OF ORDAINED MINISTRY CALIFORNIA-PACIFIC ANNUAL CONFERENCE THE UNITED METHODIST CHURCH
PERSONAL REFERENCES LIST DEADLINE: OCTOBER 1 UNTIL 11:59:59 P.M. (PST) (OF THE YEAR PRIOR TO THE COMMISSIONING YEAR) PLEASE TYPE, DIGITALLY SIGN, AND SUBMIT A SINGLE PDF FILE VIA EMAIL TO BOTH:
Cathy Wilson –
[email protected] Rev. Sunyoung Lee –
[email protected] Applicant’s Name ________________________________________ Are you a returning applicant?
___
Yes, I am a returning applicant.
___
No, I am a first-time applicant.
If NO, please proceed with filling out the form. If YES, would you like to use your previous year’s references? ___ Yes (Only fill out #2 & #3, sign the form, and submit it to the Prov Registrar and Admin Coordinator.) ___ No (Fill out the form completely and submit the form to the Prov Registrar and Admin Coordinator.)
NOTE: The Board’s primary way of communication with your references will be through E-MAIL. Thus it is highly important for you to list the E-MAIL address for all of your references. Also, if the descriptions for references do not fit your specific situations, contact the Provisional Registrar immediately. Names should be used twice, only if absolutely necessary. Please include academic titles, if appropriate (e.g., Dr.). ***No FAMILY MEMBER can serve as a reference.
1.
Present pastor-in-charge where you now work and/or attend:
_____________________________________________________
_______________________________________
Name
E-Mail
_____________________________________________________
____________________
Street
City
2.
_______
State
______
Zip
Superintendent of the district that is recommending you to the Board of Ordained Ministry:
_____________________________________________________
_______________________________________
Name
E-Mail
_____________________________________________________
____________________
Street
City
3.
_______
State
______
Zip
Staff/Co-Worker in the church where you are now (or were most recently) employed as a pastoral staff (Please do not provide the name of the senior pastor):
_____________________________________________________
_______________________________________
Name
E-Mail
_____________________________________________________
____________________
Street
City 1
_______
State
______
Zip
4.
Chairperson of the Pastor-Parish Relations Committee of the church which is recommending you (by the action of the Church/Charge Conference):
_____________________________________________________
_______________________________________
Name
E-Mail
_____________________________________________________
____________________
Street
City
5.
_______
State
______
Zip
Lay Leader in the church which is recommending you (by the action of the Church/Charge Conference):
_____________________________________________________
_______________________________________
Name
E-Mail
_____________________________________________________
____________________
Street
City
6.
_______
State
______
Zip
Original Candidacy Mentor who accompanied you through the candidacy process:
_____________________________________________________
_______________________________________
Name
E-Mail
_____________________________________________________
____________________
Street
City
_______
State
______
Zip
I hereby provide names of these persons with the understanding that their comments will be strictly confidential and for the use of the Board of Ordained Ministry only as it fulfills and follows Disciplinary requirements.
Signed _______________________________________________
Date _______________________________
PLEASE TYPE, DIGITALLY SIGN, AND SUBMIT A SINGLE PDF FILE VIA EMAIL TO BOTH:
Cathy Wilson –
[email protected] Rev. Sunyoung Lee –
[email protected] \
Personal References Form/June/2015
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