Approval for Service Application

Approval for Service Application
This form is part of the Approval to Serve process for clergy from other Annual Conferences, Methodist Denominations, or Christian Denominations (¶346) seeking appointment within the Baltimore-Washington and Peninsula-Delaware Area of the United Methodist Church. The information you provide will help us evaluate eligibility, review credentials, and complete the required steps in the approval process.

Please refer to the BOOM web page to find the Transfer Policy and a checklist of requirements, including documents that must be uploaded as part of this application, and instructions for completing your background check prior to filling out this application.

You may save your progress and continue the application at a later time. Use the text fields provided for personal, educational, and professional information. You may attach additional Word documents if your responses exceed the space provided. Please review all information carefully before signing and submitting.

Contact bomstaff@pdcbwc.org for any technical issues with the form.
Today's Date*

MonthDayYear
Date
Clergy Status*
Full Name

First NameMiddle NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email Address*
Ex. name@email.com
Cell Phone*
Work Phone*
Home Phone
Denomination*
UMC Annual Conference*
If none, indicate n/a.
Are you currently eligible to work in the United States?*

YesNo
Personal Information
Date of Birth*

MonthDayYear
City & State of Birth*
Marital Status*
Spouse’s Name
Have you been divorced?*
If yes, number of times and dates:

Children

	Name	Age	Gender
1
2
3
4
5
6

Have you been rejected for life insurance?*
Have you been treated for alcohol or drug habit?*
Have you been treated or under observation for mental or emotional disorder in a hospital or other treatment facility?*
Briefly describe your health and the health of your immediate family*
Current annual income*
Ex. $45,000
Current family income*
Ex. $45,000
Current indebtedness*
Ex. $45,000
Is this amount current in payment?*
Educational Information

Education History*

	School	Degree	Graduation Date
High School
Undergraduate
Graduate
Post-Graduate

Professional Information
Are you licensed, commissioned, or ordained by a religious organization?
Organization Name*
State*

Street Address

Street Address Line 2

City

Zip Code
Date of License, Commissioning or Ordination*

MonthDayYear
Current appointment*
Current Appointment, City & State*

Street Address

Street Address Line 2

CityState

Zip Code
How many years have you been in this appointment?*
Ex. 3
Is this a full or part-time appointment?*
Does your Bishop and District Superintendent know that you are seeking to serve in another annual Conference?*

YesNo
Briefly describe your ministry, with emphasis on leadership style, strengths, areas of desired growth and compatibility with personal goals:*
The space here is limited, but you may attach additional description in a separate Word document and upload it at the end of this online form.
Briefly describe your experience in the UMC, including your education in UM history, doctrine, and polity.*
The space here is limited, but you may attach additional description in a separate Word document and upload it at the end of this online form.
List your work experience in reverse chronological order, beginning with your current situation. For each experience, indicate urban, suburban or rural setting; denomination and title of ministry. Briefly describe your ministry in each situation and give dates of each:*
The space here is limited, but you may attach additional description in a separate Word document and upload it at the end of this online form.
List any leaves of absence, sabbaticals, disability leaves, other assignments, special appointments, etc. Specify dates and details.*
The space here is limited, but you may attach additional description in a separate Word document and upload it at the end of this online form.
State briefly your reasons for desiring to serve in the Baltimore-Washington and Peninsula-Delaware Area of the United Methodist Church:*
The space here is limited, but you may attach additional description in a separate Word document and upload it at the end of this online form.
Professional References

Provide the names and contact information for one immediate and most recent supervisor, and three references (not related to you). You will be asked to have these persons submit a reference form on your behalf. This information will allow us to follow up with your references.

Professional References*

	Name	Title	Email	Phone
Supervisor/DS
Reference 1
Reference 2
Reference 3

Documentation

Please upload the required documentation below. Your application will not be considered complete without the following items. Please upload documents in Word or PDF format, unless otherwise instructed.
Your Photo*

Upload a jpg, jpeg, or png photo file.
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Letter requesting an appointment*

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Letter of good standing from Judicatory*

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Letter of acknowledgment from Bishop/DS/Presiding Elder*

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Resume*

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Ministry credentials (License or Certificate)*

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Academic credentials - Seminary or Course of Study Transcript*

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Safe Gatherings Background Check Approval*

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Notarized Complaint/Disciplinary Action Disclosure Form*

Cancelof
Additional documentation (optional)

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By signing this form, the applicant grants permission to the Peninsula Delaware or the Baltimore-Washington Conference to access their personnel record and supervisory files, where such records exist, and consents to the Conference process.
Type your full legal name here.
Should be Empty:

Approval for Service Application

Personal Information

Educational Information

Professional Information

Professional References

Documentation