Voluntary Leave of Absence Annual Report

Susquehanna Conference Voluntary Leave of Absence Annual Report Form

Name

Address

Email

example@example.com

Phone

Format: (000) 000-0000.

Date Leave Began

Date

Charge Conference Membership

District

Conference Relationship

Type of Leave you are on

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?

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

When do you project you will return to active ministry?

What needs to occur to enable your return to active ministry?

Clergy Signature

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.