Application for Voluntary Leave of Absence
Clergy Name
*
First Name
Last Name
Email
*
example@example.com
District
*
Please Select
Freedom Trail
Mountain Valley
North Central Rivers
Northern Wilds
River Valley
Type of Leave you are applying for:
*
Please Select
Personal
Family
Transitional
Date you wish the leave to begin: (under some circumstances, an interim leave between sessions of Annual Conference may be granted)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Have there been any disruptions or problems in your current appointment or in your family life preceding this request? What has been done to address those concern? Please provide a concise description of the concerns and attempts to address them. Include any other reasons for your request.
*
In your opinion, what are the specific criteria or goals that you see need to be met before ending your voluntary leave?
*
You will need to stay in contact with your District Superintendent and maintain a relationship with a local United Methodist Church. At which church will you hold your Charge Conference membership during your Leave of Absence?
*
Submit
Should be Empty: