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Lay Servant Annual Report Form

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LAY SERVANT ANNUAL REPORT

REPORT OF THE LAY SERVANT TO THE CHARGE CONFERENCE

Initial Application or Request for Renewal

Report for year ending __________

Part 1)

DATA ON THE LAY SERVANT

Name (Mrs. __ Ms. __ Mr. __) ____________________________________

Address _____________________________________________________

City/State/Zip _________________________________________________

Telephone (H) ______________________ (CP) _____________________

E-mail _______________________________________________________

Name of District _______________________________________________

Name of Church _______________________________________________

Church Address _______________________________________________

City/State/Zip _________________________________________________

Church Telephone _____________________________________________

(Part 2)

STATUS OF THE LAY SERVANT

Initial Application: (complete parts 3, 4 & 5)

To begin as a Local Church Lay Servant

For renewal as a Local Church Lay Servant

Certified Lay Servant

Lay Speaker

1. What year did you complete your Basic Course? __________________________

2. What year did you complete your last Advanced Course? ___________________

3. What was the title of your last Advanced Course? _________________________

4. Which of the following required Lay Speaking/Learning & Leading Courses have you completed?

Leading Worship __ Leading Prayer __ Discover Your Spiritual Gifts __

Preaching __ United Methodist Heritage __United Methodist Polity __

5. Date of last review for Lay Speaker status ____________________ Approved: Yes

(Upon completion of the required course work, the Lay Speaking candidate will be examined by the

district committee on Lay Servant Ministries and recommended to the conference committee on Lay

Servant Ministries for certification).

(Part 3)

REQUEST OF THE LAY SERVANT

Request for recommendation of my pastor and my charge conference to begin as a

Local Church Lay Servant __ Certified Lay Servant __ Lay Speaker__ for the ensuing year.

Date ________ ______________________________________________________________ Lay Servant

(Part 4)

RECOMMENDATION OF THE PASTOR

I recommend concurrence with the request of this person to begin /renew as a

Local Church Lay Servant __ Certified Lay Servant __ Lay Speaker __for the ensuing year.

Date ________ ________________________________________________________________Pastor

(Part 5)

RECOMMENDATION OF THE CHARGE CONFERENCE

The charge conference of ____________________ (church/charge) recommends the above person begin or

renew as a Local Church Lay Servant __ Certified Lay Servant __ Lay Speaker __ for the ensuing year.

Date ________ _________________________________________________District Superintendent

Lay Servant Annual Report Form

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