Inquiring clergy form

This form is to be completed by clergy interested in serving in the Minnesota Annual Conference.  This profile is for the purpose of consultation described in Paragraph 426 and 427 of The Book of Discipline 2012 and, as such, is not to be considered as a job application.  For further explanation, please refer to The Book of Discipline, ¶¶ 425-430. Please note that the Minnesota Conference Cabinet will not interview members of other annual conferences without permission from the inquiring person’s bishop. Inquiring pastors are to submit a completed I-9 form with their profile.

*First Name
*Last Name
*Address 1
Address 2
*City
*State
*Zip
*Phone
*Email
*Date of birth
*Church
*Church address
Conference
District
*Your present denomination
Seminary
Year of graduation
Year you will be available for appointment in Minnesota
Ordination standing in your denomination

If you are United Methodist answer part A. If you are from another denomination, answer part B.

A. When and where did you or will you become a certified candidate?
A. When and where were you or will you be commissioned?
A. When and where were you or do you intend to be ordained a deacon/elder?
A. Or if a Local Pastor, when and where did you complete the Course of Study?
A. List the name, address and telephone number of your current District Superintendent:
B. Describe your standing and process in your denomination
B. List the name, address, and telephone number of your current denominational supervisor
Understanding of call to ordained ministry
Please describe your present sense of calling to the ordained ministry in the United Methodist Church
Educational background
School, years attended, degree, major area of study
School, years attended, degree, major area of study
School, years attended, degree, major area of study
School, years attended, degree, major area of study
Professional experience
Years, employer, position, address, phone
Years, employer, position, address, phone
Years, employer, position, address, phone
List previous pastoral experiences
Briefly describe your vision of the church and its role in the world
Questions
Describe your style of leadership
Areas of service (Local church, denomination, include building programs, etc.)
Area of service or involvement in the community
Reflect upon your skills and abilities for ministry
Reflect on your growing edges for ministry
The direction in which you see your ministry going
Describe how you have experienced Christian Community
Conscientiously Check Self-Evaluation of Pastoral Skills
*Administration

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Building New Church

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Calling

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Camping

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Children's Work

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Church Growth

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Community Organization

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Counseling

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Education/Teaching

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Elderly

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Evangelism

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Ethnic Minority Work

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Hospital Calling

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Leadership Development

My ability as I perceive it:

5 (Much)
4
3
2
1
*Leading Worship

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Music

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Preaching

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Small Group Work

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Stewardship

My ability as I perceive it:

5 (Much)
4
3
2
1
*Systems Thinking

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Work with Singles

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Young Adults

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Youth Work

My ability as I perceive it:

5 (Much)
4
3
2
1 (Little)
*Administration

My current interest:

5 (Much)
4
3
2
1 (Little)
*Building New Church

My current interest:

5 (Much)
4
3
2
1 (Little)
*Calling

My current interest:

5 (Much)
4
3
2
1 (Little)
*Camping

My current interest:

5 (Much)
4
3
2
1 (Little)
*Children's Work

My current interest:

5 (Much)
4
3
2
1 (Little)
*Church Growth

My current interest:

5 (Much)
4
3
2
1 (Little)
*Community Organization

My current interest:

5 (Much)
4
3
2
1 (Little)
*Counseling

My current interest:

5 (Much)
4
3
2
1 (Little)
*Education/Teaching

My current interest:

5 (Much)
4
3
2
1 (Little)
*Elderly

My current interest:

5 (Much)
4
3
2
1 (Little)
*Evangelism

My current interest:

5 (Much)
4
3
2
1 (Little)
*Ethnic Minority Work

My current interest:

5 (Much)
4
3
2
1 (Little)
*Hospital Calling

My current interest:

5 (Much)
4
3
2
1 (Little)
*Leadership Development

My current interest:

5 (Much)
4
3
2
1 (Little)
*Leading Worship

My current interest:

5 (Much)
4
3
2
1 (Little)
*Music

My current interest:

5 (Much)
4
3
2
1 (Little)
*Preaching

My current interest:

5 (Much)
4
3
2
1 (Little)
*Small Group Work

My current interest:

5 (Much)
4
3
2
1 (Little)
*Stewardship

My current interest:

5 (Much)
4
3
2
1 (Little)
*Systems Thinking

My current interest:

5 (Much)
4
3
2
1 (Little)
*Work with Singles

My current interest:

5 (Much)
4
3
2
1 (Little)
*Young Adults

My current interest:

5 (Much)
4
3
2
1 (Little)
*Youth Work

My current interest:

5 (Much)
4
3
2
1 (Little)
Evaluation of where I am personally now
*Emotional Balance
5 (Strong)
4
3
2
1 (Weak)
*Humor
5 (Strong)
4
3
2
1 (Weak)
*Financial Management
5 (Strong)
4
3
2
1 (Weak)
*Spiritual Maturity
5 (Strong)
4
3
2
1 (Weak)
*Able to work in a team
5 (Strong)
4
3
2
1 (Weak)
*Tension Management
5 (Strong)
4
3
2
1 (Weak)
*Physical Health
5 (Strong)
4
3
2
1 (Weak)
*Motivation to work hard
5 (Strong)
4
3
2
1 (Weak)
*Ability to Relax
5 (Strong)
4
3
2
1 (Weak)
*Able to listen/hear others
5 (Strong)
4
3
2
1 (Weak)
Comments regarding above
Family
Marital Status
Spouse
Spouse's date of birth

Children or other persons living at home:

Name, Date of Birth, Grade in School, Relation of Person
Name, Date of Birth, Grade in School, Relation of Person
Name, Date of Birth, Grade in School, Relation of Person
Name, Date of Birth, Grade in School, Relation of Person
Health/handicapping, education or other needs of the family
If not a U.S. citizen, do you have proof you can be employed in the U.S.?
Yes
No
No answer
State Documentation
Other comments of which you feel the Cabinet should be aware
Current cash salary
Other benefits

NOTE: You may include an audio tape of your reading scripture and preaching. You may send an updated tape at any time or include a Youtube link. Mail to Rev. Dan Johnson, 122 W. Franklin Ave. Ste. 400, Minneapolis, MN  55404.

References

Please complete, as fully as possible, the list below with persons who can give an evaluation of your ministry. By adding the information you give permission for the Minnesota Annual Conference Cabinet to contact the references listed below.

SUPERVISOR (List at least one)

Name, Position, Address, Phone
Name, Position, Address, Phone

CO-WORKER or CLERGY (List at least one)

Name, Position, Address, Phone
Name, Position, Address, Phone

LAYPERSON (List at least one)

Name, Position, Address, Phone
Name, Position, Address, Phone

OTHER— e.g. Seminary Professor, etc. (List at least one)

Name, Position, Address, Phone
Name, Position, Address, Phone
Inquiring United Methodist clergy

Please give name, address, and phone of your current District Superintendent.

Inquiring United Methodist student

Please give name, address, and phone of your District Superintendent and the name address, and phone for the Chairperson of your District Committee on Ordained Ministry.

Inquiring clergy from other denominations

Please give name, address, and phone of your current denominational supervisor.

Reference form

Download reference forms to be completed by references here.

Attach completed reference forms here

attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

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