2020 BOM Paperwork Submission - Provisional

*Preferred Name

What name do you actually use?  We will use this on your communications and nametag. For example, the Assistant Director in The Center for Clergy Excellence doesn't use her first name, so in this area she would list "Michelle". This doesn't need to include your last name.

*First Name
*Last Name
*Address 1
Address 2
*City
*State
*Zip
*Phone
*Email
*Conference Relationship
*Student Appointment

Have you served as a licensed Local Pastor outside of North Georgia?  (If you attended seminary outside of North GA did you serve as a student pastor in another annual conference?)

Yes
No
*Church Information

What church are you currently connected to in North GA?  (If you are serving as a Local Pastor please select the church you are serving.  If you are not an LP select the church where you are a member.  The church listing is in alphabetical order and the four letter code for each district is included. Since there are many churches with the same name, please check the district code to verify you are selecting the right church).

Personal Data

We will use this information to pre-fill documents that are used by the BOM, it will not be released outside of BOM.

*Gender
*Date of Birth
*Ethnic Origin
*Marital Status
*Additional Marriage Information

Current Spouse's Name and Date of Birth

*Marriage Question

How long have you been separated?

*Previous Marriages

What was the divorce date of your previous marriage(s)?

*Divorced

How long have you been divorced?

*Do you Have Children or Dependents?

Do you have any dependents in addition to your children?  If you are married, does your spouse have any additional dependents?

Yes
No
*Children

Please list the names and birthdates of your children and dependents

Educational Background

*Where did you attend Seminary?
*Which degree did you complete at Seminary?
*What year did you complete seminary?
*College Infomation

Please list all colleagues and universities (besides seminary) have attended, even if you did not complete a degree. Include undergraduate, graduate, and PhD education.

Example: Georgia State University, no degree; LaGrange College, BA, 2018

*What High School did you graduate from, and when?
*Course of Study/Advanced Course of Study

If you have completed the Course of Study and the Advanced Course of Study, please list the Seminary where you completed your program(s) and dates.

Reference Letters

*References (you can change or update these with CCE - this is simply a list to help CCE know what letters to expect).

You must have at least two from this list:

  • District Superintendent (required)
  • Senior Pastor of local church: (if you are appointed or serving on staff, required; member of the church, recommended)
  • Supervisor: (if you are working or serving in a site other than a local church)
  • SPRC Chairperson: (if you are serving under appointment, required)
  • If unemployed: (someone other than family member who knows you well)

You must have two seminary references, one from a faculty member and your field education evaluations.  If you did not have a field ministry please submit two academic references.

  • Faculty Advisor or Faculty Member of your seminary (ask the person who is most familiar with you academically)
  • Field Education/Supervised Ministry/Contextual Education experience (we are looking for the evaluations of your field ministry experience)

Please list names and reference type (DS, Faculty, Pastor, SPRC, etc)

*Paperwork Review Appointment

A staff member from CCE will call at the selected time and review all submitted paperwork. Your paperwork is due on January 6th by 11:59pm, but your appointment time is when your file will be reviewed and verified that is complete and you are eligible for BOM interviews. Please select one time:

January 7th @ 11:00am SOLD OUT
January 7th @ 11:30am SOLD OUT
January 7th @ 12:30pm SOLD OUT
January 7th @ 1:00pm SOLD OUT
January 7th @ 1:30pm SOLD OUT
January 7th @ 2:00pm SOLD OUT
January 7th @ 2:30pm 1 available
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January 7th @ 3:30pm SOLD OUT
January 8th @ 9:30am SOLD OUT
January 8th @ 10:00am 1 available
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January 8th @ 1:00pm 1 available
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January 9th @ 9:30am 1 available
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January 9th @ 11:00am 1 available
January 9th @ 11:30am 1 available
January 9th @ 12:30pm 1 available
January 9th @ 1:00pm 1 available
January 9th @ 1:30pm 1 available
January 9th @ 2:00pm SOLD OUT
January 7th @ 11:00am: This item is no longer available
January 7th @ 11:30am: This item is no longer available
January 7th @ 12:30pm: This item is no longer available
January 7th @ 1:00pm: This item is no longer available
January 7th @ 1:30pm: This item is no longer available
January 7th @ 2:00pm: This item is no longer available
January 7th @ 2:30pm: There are only 1 available
January 7th @ 3:00pm: There are only 1 available
January 7th @ 3:30pm: This item is no longer available
January 8th @ 9:30am: This item is no longer available
January 8th @ 10:00am: There are only 1 available
January 8th @ 10:30am: There are only 1 available
January 8th @ 11:00am: There are only 1 available
January 8th @ 11:30am: There are only 1 available
January 8th @ 12:30pm: There are only 1 available
January 8th @ 1:00pm: There are only 1 available
January 8th @ 1:30pm: There are only 1 available
January 8th @ 2:00pm: There are only 1 available
January 8th @ 2:30pm: There are only 1 available
January 8th @ 3:00pm: There are only 1 available
January 8th @ 3:30pm: There are only 1 available
January 9th @ 9:30am: There are only 1 available
January 9th @ 10:00am: There are only 1 available
January 9th @ 10:30am: There are only 1 available
January 9th @ 11:00am: There are only 1 available
January 9th @ 11:30am: There are only 1 available
January 9th @ 12:30pm: There are only 1 available
January 9th @ 1:00pm: There are only 1 available
January 9th @ 1:30pm: There are only 1 available
January 9th @ 2:00pm: This item is no longer available
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