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Work Number
Mobile Number
Preferred Number *
Preferred Information MidSouth,
Email *
If yes, you are a member of the MidSouth, what district are you located? Ashland Athens Bowling Green Campbellsville Elizabethtown Florence Friendship Galax Harned Hopkinsville Johnson City Kingsport Knoxville Lexington London Morristown Paducah Sevierville Tazewell Tennessee Valley
If no, you are not a member of the MidSouth, what conference are you located?
Presiding Elder Number *
Presiding Elder Email *
If Other than GMC, List Denomination, Ordination Status, & Supervisor’s Info
Limitations on Appointment * Personal Health Spouse's Health Other Family Member’s Health Children’s Education My Civilian Job My Spouses Job Senior Status Other/Specify None
Please provide specifics on the limitation you’ve selected.
Clergy Status - Current GMC Ordination Status * Elder Deacon Certified Lay Minister Transitional Local Pastor Certified Candidate Affiliated Conference Member Supply Pastor Pending Ordination
If Applicable, Pending GMC Ordination Status Pending Elder Pending Deacon Pending Certified Lay Minister Pending Transitional Local Pastor Pending Certified Candidate Pending Affiliated Conference Member Pending Supply Pastor
Educational Status * Completed M. Div. Completed Course of Study Enrolled in M. Div. Enrolled in Course of Study Other
If M.Div. or course of study are incomplete, please summarize your educational plan/progression.
Ave. In-Person Attendance of All Services at Your Most Recent Appointment * Less than 50 Greater than 50 but less than 100 Greater than 100 but less than 150 Greater than 150 but less than 200 Greater than 200 but less than 250 Greater than 250 but less than 300 Greater than 300 but less than 350 Greater than 350 but less than 400 Greater than 400 but less than 450 Greater than 450 but less than 500 Greater than 500
Name of Current or Most Recent Appointment *
Your Primary Role at this Appointment * Senior/Lead Pastor Associate Pastor Other/Specify
If you selected "other/specify," please share more about this appointment.
Parsonage/Housing Stipend Needed * Parsonage Required Housing Stipend Required Either Parsonage or Housing Stipend Required Neither Required
Total of Benefits Package Amount at Last/Current Appointment *
Base Salary without Benefits Package at Last/Current Appointment *
List, in bullet format, your top 3 strengths as they apply to a pastoral appointment. *
List, in bullet format, your top 3 items you feel called to achieve in pastoral appointment. *
List, in bullet format, your top 3 areas of special training. *
