BOARD OF ORDAINED MINISTRY EASTERN PENNSYLVANIA ANNUAL CONFERENCE The United Methodist Church Requirements Check List For Associate Conference Membership Name_______________________________________________ Office ____________________ Address_____________________________________________ Fax ______________________ _____________________________________________ E-mail____________________ Mailing Address (if different)_____________________________ Home ____________________ ________________________________________________ (A) FORMS, CERTIFICATIONS, AND EVALUATIONS Date & Initials Application for Ministerial Relationship to the Annual Conference Certification of having reached the age of 40 or older Certification of having served at least four years as a FTLP Certification of having completed the five-year Course of Study Official transcript showing satisfactory completion of a minimum of 60 hours toward the Bachelor of Arts degree (or its equivalent) in a University Senate-approved college Annual Evaluation of Staff-Parish Relations Committee [Signed-off by Commissioned Minister (Provisional Member) and SPRC] ____________ Year 1 ____________ Year 2 ____________ Annual Evaluation by District Superintendent [Signed-off by Commissioned Minister (Provisional Member) and DS] Year 1 ____________ Year 2 ____________ Biographical Information Form (Current) Certification of “Revealing the Wounds of Racism” (Not CE) Certification of Attending Sexual Ethics Seminar (Basic Seminar) (Not CE) ____________ ____________ ____________ ____________ ____________ ____________ ____________ (or the equivalent minimum 6 contact hours with proof of completion). Child Abuse History Clearance Form (Current within 1 year) Credit Check (Professional) Criminal Record Check Report (PA State Police) (Current within 1 year) Drug/Alcohol Toxin Screen Report (Current within 1 year) Physical Examination (Current within 1 year) Current Psychological Assessment Report Non Plagiarism Form Disclosure Form October 2014 ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ Requirements Check List for Associate Membership (B) PROVISIONAL MEMBER PROGRAM I. Mentoring (6 month reports: including topics, dates, and cooperation affirmation) 1st 6 mo 2nd 6 mo 3rd 6 mo ____________ ____________ ____________ II. Covenant/Peer Group Reports (Dates and Cooperation Affirmation) Year 1 Year 2 ____________ ____________ III. Continuing Theological Education (A) Retreats (Yearly) Year 1 Year 2 ____________ ____________ (B) Two other events in the year program (CEU Certification is preferred, with documentation attached) Suggested Topics, including: Biblical Studies, Church Growth, Computer Education, Leadership Development, Pastoral Care, Prayer/Meditation, Social Justice, Stewardship, Team Building, Theology, Time Management, Holistic Health, Worship (Forms of) IV. One Local Church Visit & Worship Observation by trained Observer designated by the Provisional Member Committee ____________ ____________ ____________ (C) WRITTEN DOCUMENTS BY THE COMMISSIONED MINISTER Current Disciplinary Questions (¶335 a, b, c, The Book of Discipline: 2012) ____________ Lesson Plan and Outline for Teaching a Bible Course/Study1 ____________ Religious Development Essay (Complete with current update) ____________ Autobiographical Essay (Complete with current update) ____________ Three Sermon Manuscripts with audio tapes of 2 of them and 1 video tape of the remaining sermon and whole worship service.2 ____________ Worship bulletins matching each submitted sermon (if none used, PowerPoint, handout, or outline of the Order of Worship for each sermon) ____________ Have you ever been turned down by another UMC conference, other judicatory, or another church for ordination? If yes, please place a full explanation and resolution of the situation in your file. ____________ 1 4 to 8 week study with sufficient documentation as to allow for a substitute teacher leading the class. Study needs to have a goal or purpose and show depth of Biblical research. Must be the main sermon manuscript, not transcript; children’s sermons are not acceptable. Audio Visual versions to the Presenter only. 2 October 2014 Requirements Check List for Associate Membership