Heartland 2020 Charge Conference Form - Church Team Nominations Version 2

Note: In order to submit the form, ALL questions marked with an asterisk (*) must be answered. 

Church

Please select the name of your church from the list below.  If you do not see your church or ministry on the list, please select "Other" and provide the name in the box below.

If you selected "Other", please explain below.

Name of person submitting this form.

*First Name
*Last Name
*Email
Church Officers
*Church Officers

Please check all positions that apply.

Chariperson, ADM. Board/Council
Lay Leader
Charge Lay Member to Annual Conference - Each charge - NOT EACH CHURCH - must elect a Lay Member to AC
1. Additional Lay Member - NOT ALTERNATE - to Annual Conference: There should be one elected lay delegate for every clergy person (elder, deacon, local pastor) appointed to the charge.
2. Additional Lay Member - NOT ALTERNATE - to Annual Conference: There should be one elected lay delegate for every clergy person (elder, deacon, local pastor) appointed to the charge.
3. Additional Lay Member - NOT ALTERNATE - to Annual Conference: There should be one elected lay delegate for every clergy person (elder, deacon, local pastor) appointed to the charge.
4. Additional Lay Member - NOT ALTERNATE - to Annual Conference: There should be one elected lay delegate for every clergy person (elder, deacon, local pastor) appointed to the charge.
5. Additional Lay Member - NOT ALTERNATE - to Annual Conference: There should be one elected lay delegate for every clergy person (elder, deacon, local pastor) appointed to the charge.
1. Alternate Lay Member to Annual Conference - NOT ADDITIONAL - Represents the Charge at AC if the elected Lay Member is unable to attend.
2. Alternate Lay Member to Annual Conference - NOT ADDITIONAL - Represents the Charge at AC if the elected Lay Member is unable to attend.
Chairperson, Charge Staff/Pastor Parish Relations Committee (SPRC)
1. (If Multi-Church Charge) S/PPRC Chairperson of Other Church
2. (If Multi-Church Charge) S/PPRC Chairperson of Other Church
Treasurer
Recording Secretary
Chairperson, Board of Trustees
Financial Secretary (if NOT a Church Employee)
Membership Secretary
Recording Secretary, Charge Conference
Church Historian (Strongly Recommended)
President UMM
President UMW
Children Coordinator
Youth Coordinator
Chairperson, ADM. Board/Council
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Lay Leader
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Charge Lay Member to Annual Conference
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
1. Additional Lay Member (NOT ALTERNATE) to Annual Conference
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
2. Additional Lay Member (NOT ALTERNATE) to Annual Conference
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
3. Additional Lay Member (NOT ALTERNATE) to Annual Conference
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
4. Additional Lay Member (NOT ALTERNATE) to Annual Conference
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
5. Additional Lay Member (NOT ALTERNATE) to Annual Conference
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
1. Alternate Lay Member (NOT ADDITIONAL) to Annual Conference
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
2. Alternate Lay Member (NOT ADDITIONAL) to Annual Conference
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Chairperson, Charge Staff/Pastor Parish Relations Committee (SPRC)
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
1. (If Multi-Church Charge) S/PPRC Chairperson of Other Church
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
2. (If Multi-Church Charge) S/PPRC Chairperson of Other Church
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Treasurer
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Recording Secretary
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Chairperson, Board of Trustees
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Financial Secretary (if NOT a Church Employee)
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Membership Secretary
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Recording Secretary, Charge Conference
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Church Historian (Strongly Recommended)
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
President UMM
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
President UMW
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Children Coordinator
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Youth Coordinator
Name
Preferred Mailing Address

Include House Number, and Street Name.

City
State
Zip Code
Telephone (Mobile)
Telephone (Home)
Email
Ethnicity
Gender
No answer
Male
Female
Other Church Officers

Other offices that may be elected at Charge Conference include:

  • At-Large Members of Administrative Board/Council
  • Nurture
  • Outreach
  • Witness
  • Age-Level
  • Family
  • Specialized Ministries Coordinators:
    • Children's Ministries
    • Youth Ministries
    • Adult Ministries
    • Family Ministries
    • Young-Adult Ministries
    • Older-Adult Ministries
    • Scouting Cooridinator
    • Single Adults
    • Specialized Ministries
  • Christian Unity and Interreligious Concerns
  • Church and Society
  • Community Volunteers
  • Education
  • Evangelism
  • Higher Education and Campus Ministry
  • Missions
  • Prayer Advocacy
  • Religion and Race
  • Status and Role of Women
  • Earth Advocacy
  • Stewardship
  • Worship
  • Advocacy for Persons with Special Needs
  • Church Media Resources
  • Superintendent of the Church School
  • Coordinator of Small-Group Ministries
  • Health and Welfare Ministries Coordinator
  • Communications Coordinator
  • Disaster Respose Coordinator
  • Other Offices Specific to Your Local Church

 

Please include Position, Name, Mailing Address, Phone Number (please indicate if the number is Home or Cell), Email Address, Ethnicity, and Gender.

Other Church Officers

You may upload a Word Doc or a PDF of the above information.

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

Committees

Staff/Parish Relations Committee
In the space below, please list all members names and their contact information.

Staff/Parish Relations Committee - Class of 2021
Staff/Parish Relations Committee - Class of 2022
Staff/Parish Relations Committee - Class of 2023

Finance Committee
In the space below, please list all members names and their contact information.

Finance Committee - Class of 2021
Finance Committee - Class of 2022
Finance Committee - Class of 2023

Board of Trustees
In the space below, please list all members names and their contact information.

Board of Trustees - Class of 2021
Board of Trustees - Class of 2022
Board of Trustees - Class of 2023

Nominations and Lay Leadership Development Committee
In the space below, please list all members names and their contact information.

Nominations and Lay Leadership Committee - Class of 2021
Nominations and Lay Leadership Committee - Class of 2022
Nominations and Lay Leadership Committee - Class of 2023

High School Students Information
Please enter information for your church for all high school feshmen, sophomores, juniors, and seniors at https://www.umhef.org/umls/. The information entered will be shared with our United Methodist colleges and Wesley Foundations.

ACKNOWLEDGEMENT
Signature - of Contact Person By signing below, you are acknowledging that the above information is accurate.

Enter your name below. By typing your name and signing in the area below you are verifying your name and date of this signature

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Signature - of Lay Member to Annual Conference By signing below, you are acknowledging that the above information is accurate.

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Signature - of Lay Leader By signing below, you are acknowledging that the above information is accurate.

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Signature - of Treasurer By signing below, you are acknowledging that the above information is accurate.

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Signature - of Pastor By signing below, you are acknowledging that the above information is accurate.

Enter your name below. By typing your name and signing in the area below you are verifying your name and date of this signature

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Revised July 2020

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