Ward or Branch Organization Application

Stake, district, or mission Unit number Stake or mission president’s phone number

Stake or mission president’s e-mail address Stake or mission president’s signature Date

President of the Seventy or Area President’s signature Area Presidency First Counselor’s signature Area Presidency Second Counselor’s signature Date

Stake or Mission President A. Request a unit map. In the U.S. and Canada,
call 1-855-537-4357 (1-855-LDS-HELP). For
Complete this form to:
international areas, contact your local membership
• Create a new ward or branch. support. Maps are not required when changing
• Change a branch to a ward or a ward to a branch. only the name of a ward or branch.
• Discontinue a ward or branch. B. Mark the map(s) to indicate existing and proposed
• Change ward or branch boundaries. unit boundaries (see map guidelines on page 2).
• Change the name of a ward or branch (see naming C. Prepare a Recommendation for New Bishop form
guidelines on page 2). (PD00000723) for each bishop to be called.
D. Send map(s) and forms to your presiding President
of the Seventy or Area Presidency.
Complete the following for affected wards or branches as they are now.
President of the Seventy or Area Presidency
Add comments to line 22, sign the form, and send it to:
BOUNDARY AND LEADERSHIP CHANGE COMMITTEE
120 N 200 W
SALT LAKE CITY UT 84103-1514
If you need further information or assistance, call 1-855-
537-4357 (1-855-LDS-HELP) if in the U.S. or Canada. For
international areas, contact your local membership support.
Complete the following for affected wards or branches as they are being proposed.

1. Unit name Current Proposed

total total
2. Unit number (must
equal
current
total)
3. Meetinghouse address

4. Seating: /   / /   / /   / /   / /   / /   / /   /

chapel/overflow/cultural hall
5. Members of record
6. Membership increase or
decrease in the past 12 months
7. Average sacrament meeting
attendance
8. Total number of Melchizedek
Priesthood holders
9. Number of active Melchizedek
Priesthood holders *
10. Number of active Melchizedek
Priesthood holders who are
full-tithe payers
11. Active prospective elders
12. Adult female members
(Give both total number and number of active
Total / Active Total / Active Total / Active Total / Active Total / Active Total / Active Total / Active
members in each group for lines 13, 14, and 15.)
13. Young men (ages 12–18) /    /    /    /    /    /    /   

14. Young women (ages 12–18) /    /    /    /    /    /    /   

5. Children (0–11)
1 /    /    /    /    /    /    /   

16. Language in which administrative

materials are needed
*Include those serving outside the ward or branch (those in stake, district, ward, or branch leadership) and full-time or Church-service missionaries from the ward or branch. © 2004, 2011 IRI. All rights reserved. Printed in the USA. 8/11. PD00001356
Ward or Branch Organization Application—continued
17. Explain how the proposed change will affect the Church-related travel of members, including such factors as distance, method of transportation, cost, time, and so on. Please be specific.

18. Give the specific reasons for this proposal, including such factors as unit size, travel, chapel crowding, membership growth, and so on.

19. Explain why the proposed name of the ward or branch was chosen. Give specific reasons (see the guidelines below).

20. For each unit involved in the proposal, including each new unit, give the names of the units that would share the same meetinghouse. Would a new building be needed? □ Yes □ No

21. Give the date on which you would like to make the proposed change (if it is approved). (Allow three months for approval after required information is received by the Boundary and Leadership Change Committee.)

Endorsement by President of the Seventy or Area Presidency

22. Comment on why you endorse the proposed changes. Include comments that explain changes that are outside published guidelines, if applicable.

Guidelines for Naming Wards and Branches 1. Mark the map to show proposed boundaries.
Follow guidelines in Handbook 1: Stake Presidents and Bishops (2010), section 9.2, for 2. Mark the location of each meetinghouse.
naming new wards and branches.
Marking the Map(s) 3. Write each unit name within that unit’s boundaries on the map.
In the U.S. or Canada, call 1-855-537-4357 (1-855-LDS-HELP) to obtain a map. For 4. Include information that is not apparent on the maps, such as how boundaries divide
international areas, contact your local membership support. On the map, mark all proposed apartment buildings, rest homes, and so on. State whether a boundary runs through
boundaries, along with items 2–4 listed below. Submit the map, along with any additional the middle of a street or if both sides of the street are included in the unit.
commercial maps needed to help clarify proposed changes.
If these changes require additional rented or leased facilities, the changes should not be
implemented until the rental or lease facilities have been approved through the area or
headquarters facilities management office.
2 8/11. PD00001356