2020 Extension Ministry Form 2020 Appointment to Extension Ministry Form Part 1 - Appointment to an Extension MinistryName* First Middle Last Business Phone*Home Phone*Cell Phone*Email* Enter Email Confirm Email Title/Position*Agency/Institution*Business Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Preferred address for business purposes and for inclusion in Journal*BusinessHomeBase Compensation for Year 2020*Utilities and other Housing Related Allowances for Year 2020*Travel Allowance for Year 2020*Other Cash Allowances for Year 2020*Status:*Full MemberProvisional MemberAssociate MemberLocal PastorFull member of North Carolina Annual Conference*YesNoName of church where your Charge Conference Membership is held*District*BeaconCapitalCorridorFairwayGatewayHarborHeritageSoundIf you are under appointment outside the conference of which you are a member, please enter the Conference where you serve, and Bishop's name.District and District Superintendent where you serveAffiliate Charge Conference Membership where you servePlease indicate your Appointment Category (¶344.1)*a. Appointed within the connectional structureb. Endorsed by the UM Endorsing Agency within the General Board of Higher Education and Ministryc. In service with General Board Global Ministriesd. Appointed to other valid approved extension ministryWrite a brief narrative of your ministry during the past year. If you prefer to upload your written document instead of typing in this text box, please press Choose File below this text box.Annual Evaluation File - A copy of your annual evaluation can be uploaded thru Choose File or mailed to NC Conference, Attn: Bishop's Office, 700 Waterfield Ridge Place, Garner, NC 27529 and to United Methodist Endorsing Agency, PO Box 340007, Nashville, TN 37203-0007.List evidence of your continuing education and spiritual growth program and future plans (¶344.2). If you prefer to upload your written document instead of typing in this text box, please press Choose File below this text box.Part 2 - QuestionnaireIn what ways do you consider a Theological Education, Ordination and Conference Membership necessary to your work?*How long have you been in your present position?*Did you attend and report to the Charge Conference in 2020?*YesNoDo you understand that, as a member of the North Carolina Conference, it is your duty to attend the Annual Conference Session? (¶344.5d, 329.2, 2016 Discipline)*YesNoWhat was the year of the last NC Conference Session you attended? If you are unable to attend the forthcoming session of our Conference at Greenville Convention Center, June 16-18, 2021, please send a written letter/email is acceptable to the Conference Secretary (jlbryan@nccumc.org) setting forth the reason for the absence. If you are absent without a satisfactory reason for the absence, the matter shall be referred by the Conference Secretary to the Board of Ordained Ministry - ¶602.8, 2016 Discipline. This applies even if you have to be absent one day. You will be expected to be in attendance unless you notify us of your absence.*If you are employed outside the North Carolina Conference, in what ways have you sought the relationship with the Bishop in the Area in which you reside, as described in ¶344.2a, 331.4d, 2016 Discipline?Have you sent him/her a copy of this report?YesNoREPORT OF ACTIVITIES: January 1, 2020 through December 31, 2020. Describe any additional activities during the year, or add any word of explanation or additional information, if you would like to do so. If you prefer to upload your written document instead of typing in this text box, please press Choose File below this text box.REPORT OF ACTIVITIES FILENumber of persons to whom you minister:*Number worship services conducted or assisted in:*Number sermons preached:*Number Church School classes taught:*Number Leadership Training classes taught:*Number Confirmation Classes conducted:*Number Communion Services celebrated or assisted in:*Number baptisms performed or assisted with:*Number marriages performed or assisted with:*Number funerals conducted or assisted with:*Part 3 - Committee ReportEffective May 2007, THE EXTENSION MINISTRY COMMITTEE of the North Carolina Conference Board of Ordained Ministry requires the completion of this form as a part of your connection to the conference and in addition to those required by the Bishop’s Office and the GBHEM. You may want to refer to the historic examination questions listed in ¶336 of the Book of Discipline and the ordination service examination in the Book of Worship (pp. 674-678) in answering the following: How has the practice of ministry, in your setting through Extension Ministries, affirmed your call to ordained ministry and helped you live out your call in faithfulness to your ordination vows?*EmailThis field is for validation purposes and should be left unchanged.