Voluntary Leave of Absence Annual Report

Susquehanna Conference Voluntary Leave of Absence Annual Report Form
Name
Address
Email
example@example.com
Phone
Date Leave Began

MonthDayYear
Date
Charge Conference Membership
District
Conference Relationship

Full MemberProvisional MemberAssociate Member
Type of Leave you are on

PersonalFamilyTransitional
How many years have you been on Leave of Absence
Do you desire to resume full or part-time ministerial work at the next session of the Annual Conference?

YesNo
Do you request an extension of your Leave of Absence for the coming appointment year?

YesNo
When do you project you will return to active ministry?
What needs to occur to enable your return to active ministry?
Clergy Signature

Clear
Date

MonthDayYear
Date
Attach a copy of your report to your charge conference. A copy of this form will be sent to the Bishop's office and the Conference Relations Committee chairperson, bomcrc@susumc.org Requests for other changes of relationship (retirement, honorable location, etc should be directed to the CRC chairperson.
Should be Empty: