The School of Theology of the Primitive Methodist Church Permission to Contact References ~ ~ ~ Application Package (Transfer of Credentials) I hereby grant permission to the School of Theology of the Primitive Methodist Church Signature: I acknowledge the right of the Primitive Methodist Church in the USA to fully examine and check any pertinent information about those applying for the pastoral ministry within their Conference. I hereby grant permission to this School of Theology to gather and confirm references for and about myself. I further grant them permission to ask any references that I supply to suggest secondary references, and to contact these secondary references in regard to a recommendation about my qualifications, temperament and abilities to serve as a pastor in this denomination. _____________________________________________ ____________                                           Signature                                     Date I have asked the following to act as a reference: Church-Related Name, address and telephone number: Work-Related Name, address and telephone number: Community-Related Name, address and telephone number:

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