Terms of Call for Ordained Personnel Form-Without Pastors Participation Plan Church InformationName(Required) First Active Membership First Email(Required) PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Pastor's InformationName(Required) First Preferred Email(Required) Preferred PhoneHome Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Position First Title First Years of pastoral experience since ordinationStatus Full-time Other If less than Full-time, please click "other" and indicate the percentage of full-time you are contracted to work. (e.g. 50%= half-time, 25%=quarter-time, etc.)Years in positionOrdination/Commision/Certification Minister of Word and Sacrament / Teaching Elder Commissioned Pastor (also known as commissioned ruling elder) Certified Christian Educator 1. Total Cash SalaryPlease refer to 2022 Minimum Terms of Call for suggested compensation. Cash Salary 2021 ActualCash Salary 2022 Proposed2A. Manse and Church-Paid Utilities (See Rationale to determine valuation of manse)Manse/Utilities 2021 ActualManse/Utilities 2022 Proposed2B. Housing Allowance Including Utilities paid by PastorHousing 2021 ActualHousing 2022 Proposed3. Other Benefits to be Included in Effective Salary BasePlease add these up and enter a total amount for each field.Other 2021 ActualOther 2022 ProposedPlease list the additional benefits for 20214. Total Effective Salary/ Pension BaseTotal-2021 actualTotal-2022 proposed5. Enter your Board of Pensions dues herePlease enter a dollar amount belowBOP Dues 2021 ActualBOP Dues 2022 ProposedPlease describe the medical and pension benefits that the church provides the pastor for 2021.Please describe the medical and pension benefits that the church provides the pastor for 2022.6. Travel/Professional ReimbursementTravel 2021 ActualTravel 2022 Proposed7. Vacation Leave with Pay (4 weeks + 2 days including 5 Sundays)for example: 1 month, 2 weeks, etcHiddenVacation Leave 2021 ActualHiddenVacation Leave 2022 ProposedVacation Leave 2021 Actual Vacation Leave 2022 Proposed 8. Continuing Education Leave with Pay (minimum 2 weeks)for example: 1 week, 1 monthHiddenContinuing Education 2021 ActualHiddenContinuing Education 2022 ProposedContinuing Education 2021 Actual Continuing Education 2022 Proposed 9. Continuing Education Allowance (unused allowance will accrue for three years)Education 2021 ActualEducation 2022 Proposed10. Additional Benefits (not included above)Additional Benefits Total Amount 2021Additional Benefits Total Amount 2022 ProposedPlease list the additional benefits for 2021Please list the additional benefits proposed for 2022Medical Dues for Non-installed Teaching Elders: In recognition of our theology of benefits, and in the spirit of caring for our clergy, we recognize that there are three main areas where benefits are needed, health insurance, death & disability coverage and retirement income. For installed teaching elders, the policy of the Board of Pensions requires enrollment in the Pastors' Participation plan, which includes medical, pension, death & disability, with option for dental, supplemental death, and supplemental disability. In order to ensure that all three benefit needs are met, non-installed teaching elders shall also ordinarily be enrolled in the Pastors' Participation plan. In cases of dual income families and part time tent making pastors, it is the expectation of the Presbytery of Northeast New Jersey that all of the identified benefit needs will be accommodated in a mutually agreeable fashion either by the church or another employer. If there are questions about the Board of Pension offerings, please contact CMitchell@pensions.org.Total Compensation Package (totals are added from 4-6, 9, 10)Total Compensation- 2021 ActualTotal Compensation- 2022 ProposedContinuing Education1. How did this person use their Continuing Education leave in 2021? Please list topics and locations2. Approximately how much was the actual cost and time used for the Continuing Education event(s)? Did you participate in presbytery-mandated boundary training in 2021? Yes No ApprovalsThis section to be filled out only by the Teaching Elder and Clerk of SessionTeaching Elder First Last Teaching Elder SignatureDate MM slash DD slash YYYY Clerk of Session First Last Clerk of Session SignatureDate MM slash DD slash YYYY Δ