Certified Lay Servant Annual Report to the Charge Conference

Initial Application or Request for Renewal.

Please note: 

  • This form is not designed to be printed and does NOT have to be turned in as part of the charge conference packet.
  • This form is required to be completed before charge conference.
  • There are two signature documents within the report that need to be printed and signed. Go ahead and Submit the form, it will then email you a link to go back to later. After you get the signatures, you need to scan them to your computer and go to the link from your email, click "Edit My Form" and then upload them. You MUST hit submit again.
  • Please reach out to your District Office Administrator for any help.
Part 1: Data on the Lay Servant
*First Name
*Last Name
*Address 1
Address 2
*City
*State
*Zip
*Phone
*Email
*District
*Church
*Church Address
*Church City/State/Zip
*Church Telephone ###-###-####
Part 2: Status of the Lay Servant
*Are you submitting this as an initial application as a Certified Lay Servant? If renewing, click no.
Yes
No
*What year did you complete your Basic Course?
*What year did you complete your Advanced Course?
*What was the title of your Advanced Course
*What year did you complete you last Advanced Course?
*What was the title of your last Advanced Course?
Part 3: Request of the Lay Servant
*I request recommendation of my pastor and my church council/charge conference to begin/renew as a Certified Lay Servant for the ensuing year.

Selecting yes is like signing your name.

Yes
*Today's Date
Part 4: Recommendation of the Pastor
*Upload the recommendation from your pastor.

Download form here. (You may have to right click and click "Download Linked File" or similar to download). RETURN HERE to submit your recommendation.

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

Part 5: Recommendation of the Church Council/Charge Conference
*Upload the recommendation from the Church Council/Charge Conference

Download the form here. (You may have to right click and click "Download Linked File" or similar to download). RETURN HERE to submit your recommendation.

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

Part 6: Ministries of the Lay Servant
*During the past year I have participated in caring ministries as follows:
served as a volunteer in a care-giving institution
provided one-on-one caring
at a hospital, nursing home, or to a shut-in
in a membership/evangelism visitation
served in caring/outreach projects (food pantry, prison ministry, etc)
other caring activities
*other caring activities (please list)
*During the past year I have participated in leading ministries as follows:
served as a member of committee, board, commission, council, task force, etc
as a volunteer at a community agency
at a local church
beyond my local church
on the District level
on the Conference level
on the Jurisdiction level
on the General Church level
other leading activities
*other leading activities (please list)
*During the past year I have participated in communicating ministries as follows:
served as worship leader in services
delivered devotional messages
taught classes
shared my faith story
brought message in worship services
other speaking activities
*number of services
*number of times(devotional message):
*Number of classes:
*number of times (faith story):
*number of times (message in worship services):
*other speaking activities (please list)
Part 7: Personal and Spiritual Growth by the Lay Servant
*Short Answer

In what activities have you engaged and/or what books have you read or used during the past year to help you develop your devotional life; improve your understanding of the Bible; improve your understanding of The United Methodist Church; and to improve your skills in caring, leading, communicating and speaking?

Part 8: Feedback by the Lay Servant
*Do you feel called to be in service in any area of ministry, either in the church or outside the church, in which you are not currently involved?
Yes
No
*If yes, please list those areas below:
*What additional training or support do you need or would suggest to further your ministry:
*Give any recommendations you have for improving Lay Servant Ministries in your District or Conference
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