On Leave from Call Request Form

A minister of Word and Sacrament of this church, serving under a regularly issued letter of call, who leaves the work of that ministry without accepting another regularly issued letter of call, may be retained on the roster of Ministers of Word and Sacrament of this church, upon endorsement by the synod bishop and action of the Synod Council. A rostered minister seeking on-leave-from-call status shall make a written request to the synod bishop within 45 days following the termination of a prior call, providing a rationale as to why on-leave-from-call status should be granted. Failure to do so may result in removal from the roster.

Please use this form to make your request for on leave from call status. A full explanation of this status is available in the Manual of Policies and Procedures for Management of the Rosters of the Evangelical Lutheran Church in America and can be found on ppg 31-33.

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Date

Name*

First Last

What are your pronouns?

ex: she/her, he/him, they/them

Learn more about personal pronouns here. A video with more detailed information is here.

Email*

Enter Email Confirm Email

This is a new email address*

Yes

My contact information needs updating.*

Please refer to emailed information to see what we have on file for you.

Yes

Address

Street Address Address Line 2 City State ZIP Code

Phone

I am requesting on leave from call status. The last day of my current call is:*

Anticipated date when you will be available for a letter of call.*

Please enter a month/year or a general time of year. For example: "June 2022" or "summer 2022" or "uncertain" etc.

How can your gifts and abilities contribute to the ministry and mission of this church?*

Are you available to provide ministry services while on leave from call at the direction of the bishop?*

Yes

Please describe the ministry services you are available to provide.

What are your plans for continuing education while on leave from call?*

Choose your member congregation and city*

Please choose the name of your congregation and city from this dropdown menu. Take note that there are several congregations with the same name.

My congregation is not listed above and I entered it here.

How are you currently involved in the life of this congregation?*

Additional comments if desired - current employment, future plans, etc.

On Leave from Call Request Form

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