This form is to be filled out Annually for District Licensed Ministers, Deaconess' License, Director of Christian Education License, or other ministerial communions.

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1. Name of Individual being recommened (Required.)

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2. Choose the Appropriate Board

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3. Church (Required.)

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4. Being Recommended for: (Required.)

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5. Ministry Role Certification (Manual 503-526) [Review the minimal requirement for ordination (Manual 531.3, 532.3) and also the procedures of formalizing of the relationship, either paid or unpaid. (Manual 160-160.2) This is important for establishing and maintaining the candidate's history of ministry.]

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6. If the Ministry Role designation of PSV-FT or PSV-PT is recommended for the coming year, has the written approval of the district superintendent been received (Manual 129.27; 160,1-160.2)?

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7. Date District Superintendent's Approval was granted

Date

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8. If approval has not yet been received, date which written approval was sent to the District Superintendent.

Date

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9. If a designation other than "STU" or "U" is indicated above, describe the formal relationship that exists with the candidate, as approved by the church board and the district superintendent.

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10. Please certify that the individual name above has fulfilled all the requirements for this recommendation. (Required.)

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11. By vote of  Board on this date: (Required.)

Date

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12. Submitted by Chairperson and/or Secretary; (Please note, the typed names are considered an official signature for this document). (Required.)

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