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Elders may be appointed to a variety of settings under the provisions of ¶344.1 :

•  Appointments within the connectional structures of United Methodism;
• Appointments to extension ministries of elders in full connection under endorsement by the General Board of Higher Education and Ministry (GBHEM) and other ministry settings which the bishop and conference Board of Ordained Ministry may designate;
• Elders in service under the General Board of Global Ministries may be appointed to the ministries as listed above. They may be assigned to service either in annual conferences or central conferences, or with affiliated autonomous churches, independent churches, churches resulting from the union of Methodist churches and other communions, or in other denominational or ecumenical ministries;
• Elders may receive appointments beyond the ministry usually extended through the local United Methodist church and other institutions listed above when considered by the bishop and the annual conference Board of Ordained Ministry to be a true extension of the Christian ministry of the church. They may be appointed to a pastoral ministry in other Christian denominations, at the request of appropriate judicatory officers of that denomination. These ministries shall be initiated in missional response to the needs of persons in special circumstances and unique situations and shall reflect the commitment of the clergy to intentional fulfillment of their ordination vows to Service, Word, Sacrament, and Order.
  
  These appointments shall be made only to positions related to adequate accountability structures, according to guidelines established by the board of ordained ministry and cabinet in the annual conferences .... (¶344.5).