2018 Full Member Understanding Requirements, Deadlines, Release and References

Candidate Information

Name:

Home Phone:

Mobile Phone:

E-mail:

Elder

Deacon

If Deacon Track list Area(s) of Specialization

Year You were Certified

District Where Certified

Annual Conference where certified if other than BWC:

Church affiliation when certified

Year you were Commissioned

Annual Conference where Commissioned if other than BWC:

Present Appointment as of July 1, 2017

Address:

Phone:

Current District:

Name of Appointment