If you wish to be considered for a change in appointment in the upcoming year you must complete and submit this form BY DECEMBER 1, 2024(ONLY IF YOU ARE REQUESTING A CHANGE IN APPOINTMENT). However, requesting an appointment change does not guarantee there will be a change in the coming year. If an appointment comes open during the year and you have not submitted this form you can make yourself available for consideration for a specific site through the Clear Open process.

(Please note there is no save and continue feature so complete this form in one session. Print a copy (Ctrl+p or Command +p ) for your records before hitting submit.)

Name *

Date *

Email *

Current Appointive Site *

If retirement is your reason for a change in appointment you are invited to write Bishop Hopkins a letter requesting appointment to retirement and send it to him by December 1, 2024, indicating the date you wish to retire.

Yes I will make a request for an appointment to retirement.

Are you requesting an appointment change for other reasons than retirement:

Yes I am requesting an appointment change for other reasons

Please explain reasons in appropriate boxes below.

   Unrest or conflict: If this request for an appointment change grows out of unrest or conflict around issues in the church, please explain.       

Steps taken: What steps have been taken to remedy concern(s)?

   Remaining steps: What remaining steps could/should be taken to move through concerns for you as pastor and/or in relation to the congregation?       

Accomplishments: What have you accomplished in your current setting?

Gifts: What gifts do you bring to a new site for ministry?

   Expectations: What expectations do you have of the Cabinet in looking at a new appointment for you in the coming year?       

Limited Itineracy: If you are limited in your itinerancy please indicate if you are submitting the Limited Itineracy Form.

Yes Limited Itineracy Form will be submitted

No I am available for full itinerancy

Pastor's Signature: By typing your name below and submitting this form you are indicating that you have personally completed this form.(Please print this form for your records by clicking the print button to the right before hitting submit) *

Please print this report for your records by clicking on the blue printer icon before hitting submit.

Clergy Appointment Change Consultation

News & Announcements

In Sympathy: Lynn Everitt Longenbaugh

In Sympathy: Rev. Dennis M. Oglesby Jr.

Cheryl Weaver Named Conference Benefits Officer for NIC and Wisconsin

In Sympathy: Philip A. Bergstrom