Annual Report of the Deacon

The Annual Report of the Deacon Form is required by GBHEM (applies to all Full and Provisional Deacons regardless of appointment). Scroll to the bottom of the page if you need to save and continue later.

Reporting Year*
What is the reporting year for this report?
Name*
First Middle Last
Cell Phone*
What is your cell phone?
Email*
Enter Email Confirm Email
Home Phone*
What is your home phone?
Home Address*
What is your home address? City, State, Zip
Business Phone*
What is your business phone?
Business Address*
What is your business address? City, State, Zip
Preferred mailing address*
What is your preferred address for mailing purposes and inclusion in Journal?
- Business address
- Home address
Clergy membership status*
What is your Clergy membership status?
- Full Connection
- Provisional
Annual Conference*
What is your Annual Conference?
District*
What is your district?
Charge Conference*
What is your Charge Conference?
PART II
Serving outside of the Church?*
If you are serving in a setting extending the witness and service of Christ in the world ( ¶331.1a), give the name and address of the institution or agency.
Second Appointment?*
According to ¶331.4, deacons in full connection serving in an agency or setting beyond the local church shall relate to a local congregation. Give the name and address (including district and conference) of the local church to which you relate and serve as your second appointment?
Primary Field of Service?*
If your primary field of service is the local church, give the name and address of the local church, district and conference.
Appointment outside the conference?*
If you are under appointment outside the conference of which you are a member, please answer yes or no.
- Yes, I am under appointment outside the conference.
- No, I am not under appointment outside the conference.
Appointment outside the conference?*
If you answered yes to being appointed outside of the conference, please list the following in which you serve? If you answered no, please list N/A.
Conference Bishop District District Superintendent
Affiliate charge conference membership*
For affiliate charge conference membership, give the name and address (including district and conference) of the local church to which you relate. If none, please list N/A.
Affiliate charge conference membership*
For affiliate charge conference membership, please give the following information. If none, please list N/A.
Title/Position Agency/Institution Base Compensation Utilities, Other Housing Related Allowances Travel Allowance Other Cash Allowances
Appointment Category*
Please indicate your appointment category:
- Agency or setting beyond the local church
- United Methodist Church-related agency, school, college, theological school or ecumenical agency
- Local congregation, charge or cooperative parish
- Endorsed by the General Board of Higher Education and Ministry
- In service with General Board of Global Ministries
Part III
Specialized Area*
Area of your certification, specialization or field of service?
Mailing Annual Review Request*
Have you mailed your annual review and renewal of certification, specialization to the appropriate agency?
- Yes
- No
On Leave*
( ¶354)
- First Year
- Second Year
- Third Year
- Fourth Year
- Fifth Year
- Other
Reflect and Write*
Read ¶328 and ¶329 of the Book of Discipline. Reflect and write about the ways in which you have lived out your call to the ministry of the deacon connecting the congregation with the needs of the world. Please upload your written document by pressing choose file.
Accepted file types: doc, docx, pdf, Max. file size: 49 MB.
Connecting to the congregation*
Describe in what new ways you envision connecting the congregation with the needs in the world.
Continuing education and spiritual growth*
According to ¶421.5, the district superintendent shall receive a report of each clergy on his or her program of continuing education and spiritual growth. According to ¶351, list the ways you have fulfilled your plans for your continuing personal formation during the past year, including spiritual enrichment, service, missional and continuing education opportunities.
The year ahead*
According to ¶351, describe your plans for your continuing formation during the year ahead.
Phone
This field is for validation purposes and should be left unchanged.

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Conference	Bishop	District	District Superintendent

Title/Position	Agency/Institution	Base Compensation	Utilities, Other Housing Related Allowances	Travel Allowance	Other Cash Allowances

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