Form 04 Report of Candidacy Summit Mentor and Candidate
Applicant Name:
_____________________________________________________________________
Email address:
____________________________________________________________________
District:
[__] AP [__] CM [__] HI [__] MV [__] NR [__] SS [__] SM [__] TV [__] TR
Date attended Candidacy Summit:
________________________________________________________
General Instructions: The Candidate is responsible for providing a copy to the appropriate DCOM registrar. This form allows you to provide information to the District Committee of Ordained Ministry as the candidate applies for Certification as a Candidate for Licensed or Ordained Ministry. 1. Did the candidate participate in all Candidacy Summit mentoring sessions? If not, please indicate why and how the missed session was covered by the candidate and mentor. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 2. Describe the grace, gifts, fruit, and promise the candidate has for effectiveness in licensed or ordained ministry. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 3. What additional information will help the district committee understand the candidate and his or her desire to be certified as a candidate for licensed or ordained ministry or continued as a certified candidate? ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________
__________________________________________ _______________________________ Signature of Candidate Date __________________________________________ _______________________________ Signature of Candidacy Mentor Printed Name of Candidacy Mentor
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Updated: 2024-07