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New Pastor Information

Sep 4, 2014 | General

New Pastor Form

Please complete this form for the district office. Your information is kept secure and will be deleted off the server once it is downloaded.
  • Pastor Information

  • Mailing address, if different from Home Address
  • Please enter your preferred email for district communication
  • Spouse's place of employment other than church.
  • Please enter your place of employment, if you are employed outside the church.
  • Child NameDate of Birth 
  • Please enter the year and District where you were first appointed by the District Conference as a licensed minister.
  • Please enter the year of your ordination. Give the exact date if you know it.
  • Please enter the name of the District which ordained you.
  • If you are a retired ordained minister, please give the year you were designated by the District Conference as retired.
    Check which applies to your appointment with the Western New York District.
  • Background Check Consent

    The District performs a background check on all appointed pastors. Please complete the fields below, which will constitute your consent for this background check.
  • I hereby authorize the Western New York District of the Wesleyan Church and/or its agents to make an independent investigation of my background, references, character, past employment, education, criminal, or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my resume’/job application and/or obtaining other information, which may be material to my qualifications for employment now, and if applicable, during the tenure of my employment with the Western New York District of the Wesleyan Church. I release the Western New York District of the Wesleyan Church and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims, or lawsuits in regards to the information obtained from any and all of the above referenced sources used. The following is my true and complete legal name, and all information is true and correct to the best of my knowledge.

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