Form 11 Supervising / Sending Pastor Report for Supply Pastors (SY) or Certified Lay Minister (LM)
Applicant Name:
_____________________________________________________________________
Email address:
_____________________________________________________________________
District:
[__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR
Relationship:
[__] Supply Pastor (SY)
[__] Certified Lay Minister (LM)
General Instructions: • The Candidate is responsible for uploading completed Form and any attachments to the DCOM registrar. Note to Applicant: • Contact the pastor of the church where you are currently a member to request s/he complete this report. It is likely that you will need to provide the pastor with a copy. Note to Supervising Pastor: • The person named above is under your supervision and is seeking continued credentialing as a Supply Pastors (SY) or a Certified Lay Minister (CLM). The District Committee on Ordained Ministry needs your perceptions of this person and his/her fitness for ministry. Please respond to the following questions: (Use a separate sheet and include the Question # with your response.) 1. 2. 3. 4. 5. 6.
Describe the candidate’s basic intelligence, emotional and physical health, spirituality, and personality. What gifts and abilities does this candidate bring to ministry as a SY/LM? What evidence is there of this SY/LM’s effectiveness as a transformational leader? What concerns, if any, do you have about this SY/LM? What has been the congregation’s response to the SY/LM? How would you characterize this person’s commitment to the United Methodist Church, its doctrine and polity? What else would you like the District Committee to know about this candidate?
_____________________________ Pastor Signature
_____________________________ _______________________ Pastor Printed Name Date
Please submit to: [__] The Office of Clergy Services via ClergyServices@holston.org [__] DCOM 1 of 1
Updated: 2020-11