2017 - Annual Report of the Pastor in an Appointment to an Extension Ministry and the Deacon to an Appointment Beyond the Local Church

Please fill out the information below based on 2017 information. Once you hit the "Submit Form" button at the bottom of this form, you will receive a confirmation email with a link to your completed form where you can review your submission.  If you'd like to make changes, you can click the "Edit my Registration" button at the top of your completed form. Be sure to click "Submit Form" at the bottom if you make any changes.

*First Name
*Last Name
Preferred Name
*Email
*Home - Street address, City, State, Zip
*Evening phone

If you use your cell phone as your evening phone, this will be listed as your evening phone in the Directory.

Cell Phone

This will not be published in the Directory; we will add it to our internal database and use it when necessary.

*Business - Street address, City, State, Zip
*Daytime phone

If you use your cell phone as your daytim phone, this will be listed as your daytime phone in the Directory.

*Preferred address for mailing and directory listing purposes
Home
Business
*NYAC Membership Type
*Charge Conference Membership - Church

Please choose your church from the drop-down list (sorted by physical city/town, then church name):

*Your Title / Position
*Service Time
1/4 time
1/2 time
3/4 time
Full time
Other
Other

Please let us know what percentage of time you work in this position.

*Initial Start Date of this Position

This is the date when you began this particular position; NOT the date when you began serving in any AIEM/ABLC appointment.

*Agency/Institution Name
*2017 Base Compensation for the Year (dollar amount)

This is the total amount you earned in 2017 for this position.

*Travel Allowance (dollar amount)
*Housing Allowance (dollar amount)

For more information on housing allowances, please see Ross Williams' blog post on this topic: https://www.nyac.com/blogdetail/9607448

*Other Cash Allowances (dollar amount)
*Your Appointment Category (per para. 331 & 344 in the 2016 Discipline)
*I have completed Anti-Racism Training, a requirement for all NYAC Clergy
Yes
No
Date completed
*I have completed Boundaries Training, a requirement for all NYAC clergy
Yes
No
Date completed
*Does the institution where you serve evaluate your work?
Yes
No
*Please provide a narrative reflecting your ministry

This field will expand for you, however, if your narrative is too long, please send it via email to Robert.Knebel@nyac-umc.com. You will also need to send this narrative to your NYAC charge conference pastor - this will not happen automatically by submission of this form. 

In addition, please send evidence of your continuing education and spiritual growth program and future plans (per ¶ 344.2) to Robert.Knebel@nyac-umc.com.

For Deacons: What is your Secondary Appointment?
For those under appointment outside of the NYAC, complete the following:
Conference where you serve
Bishop
District
Affiliate charge conference membership
District Superintendent
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