2/F Methodist Mission Center

No. 10 Marcos Highway, P.O. Box 87

2600 Baguio City, Philippines
Telephone: (6374) 424-3432
Telefax: (6374) 442-2879

District Superintendent
Worker’s Consultation Form

Church’ Worker’s Preference: (Please check √ )

( ) I WANT TO BE RETAINED IN MY PRESENT APPOINTMENT

( ) I WANT TO BE TRANSFERRED OUT

( ) IT’S ALRIGHT IF I WILL BE RETAINED OR I WILL BE TRANSFERRED OUT

( ) I WANT TO APPLY FOR A ONE-YEAR LEAVE (Sick Leave, Family Leave, Etc.)

( ) I WANT TO RETIRE

( ) I WANT TO TRANSFER TO ANOTHER DISTRICT

( ) I WANT TO TRANSFER TO ANOTHER ANNUAL CONFERENCE

( ) I WANT TO APPLY FOR STUDY LEAVE

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Signature over Printed Name Date

Notes:_______________________________________________________________________
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(Note: This form should be returned to the office of the District Superintendent
on or before _______________________.)

Updated Form: 020120