2018 Charge Conference Form - Lay Servant Annual Report_BLUEGRASS

TO BE COMPLETED BY: Lay servant, pastor, charge conference or church council, and district superintendent. 

Please note that all questions marked with an asterisk (*) are required fields. 

If a required question does not pertain to you, or you do not have that information at the time you are filling out this form, please input "N/A" in the blank field. 

When you complete with the form, make sure to click 'Save Form'.  The form will not be submitted and be saved if you have left any required questions (those marked with an asterick) blank.  You may return at any time to make changes.

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APPLICANT INFORMATION
*Report of the Lay Servant to the Charge Conference

Initial Application or Request for Renewal. This report covers the 12-month period from ___________ to _____________ (either January-December or from last to current charge conference - please indicate the dates below that this report covers)

Part 1 - Lay Servant Data
*First Name
*Last Name
*Preferred Name
*Address 1
*City
*State
*Zip
*Phone
*Email
*Name of Church:
*Church Address, City, State, Zip
*Church Telephone Number
*Church Fax Number
*District
Part 2 - Status of the Lay Servant
First Time: I am applying to:
BEGIN as a Local Church Lay Servant. (Complete Only Parts 3, 4, 5A, & 5B)
BECOME a certified Local Church Lay Servant. (Complete Entire Form)

Requirements:

Local Church Lay Servant:  

  • Pastor and Charge Conference Approval
  • Completes LACE - Lay Servant Path
  • File Annual Report
  • Take a Refresher Course Every 3 Years

 

Certified Lay Servant (Local Church Lay Servants serve in the local church and beyond):

  • Pastor and Charge Conference Approval
  • Completes LACE - Lay Servant Path
  • File Annual Report
  • Complete 1 Advanced course Every 3 Years

(Note: The District Director will contact you with information on the next Lay Servant Ministries School.)

Renewal: I am applying for RENEWAL as a

(Renewal applicants must complete entire form)

Local Church Lay Servant
Certified Lay Servant
Local Church Lay Servant - To maintain status, a five hour refresher course must be completed once every three years. Enter title of renewal course and date of completion of your LAST course.

For example: Basic Lay Speaking, 8/15/2014.

Certified Lay Servants - Enter title of advanced renewal course and date of completion of LAST course.

For example: Lay Speaking Advanced, 8/20/2014.

RECOMMENDATIONS

Part 3 - Applicant

I request to be recognized as a...
Local Church Lay Servant for the coming year.
Certified Lay Servant for the coming year.
Request approval

By checking this box and entering my name below, I request the recommendation of the Pastor and the Charge Conference or Church Council to be recognized as requested below for the ensuing year.

Name of applicant

Enter first and last name.

Today's date

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Part 4 - Pastor

This request is to recognize the person named above as a...
Local Church Lay Servant for the coming year.
Certified Lay Servant for the coming year.
Approval

By checking this box and entering my name below, I, as pastor, recommend the person named above to the District Committee on Lay Servants for recognition.

Name of pastor

Enter first and last name.

Today's date

___________________________________________________________________________________________________________________________________________________

Part 5A - Charge Conference/Church Council

This recommendation for the person named above is for recognition as a...
Local Church Lay Servant for the ensuing year.
Certified Lay Servant for the ensuing year.
Approval

By checking this box and entering my name below, the Charge Conference/Church Council recommends the person named above to the District Committee on Lay Servants for recognition...

Name of Charge Conference (Church/Charge)
Name of secretary

Enter first and last name.

Today's date

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Part 5B - District Superintendent

This recommendation for the person named above is for recognition as a...
Local Church Lay Servant for the ensuing year.
Certified Lay Servant for the ensuing year.
Approval

By checking this box and entering my name below, I approve this application and report.

Name of district superintendent

Enter first and last name.

Today's date

______________________________________________________________________________________________________________________________________________

 

Part 6 - Ministries by 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 membership/evangelism visitation
served in caring/outreach projects (food pantry, prison ministry, etc.:)
other caring activities
If you selected "Other Caring Activities", please describe
Participated in Leading ministries as follows:
served as member of committee, board, commission, council, task force, etc.:
as a volunteer at a community agency
at my local church
beyond my local church
in my District, Conference, Southeastern Jurisdiction, General Church level
other leading activities
If you selected "Other Leading Activities", please describe
Participated in Servant ministries as follows:
brought message in worship services, served as worship leader in services
delivered devotional messages, taught classes
other speaking activities
If you selected "Other Speaking Activities", please describe
Additional opportunities for ministry participated in by the Lay Servant
Part 7 - Personal and Spiritual Growth by the Lay Servant
Growth

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

Part 8 - Feedback by the Lay Servant
Do you believe that you have had adequate opportunity for service as a lay servant this past year?
Yes
No
No answer
If you answered "No", please explain
What additional training or support do you need or suggest?
Give any recommendations you have for improving the lay servant ministries in your District or Conference.

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When complete with the form, make sure to click 'Save Form' below. You may return at any time to make changes.

Revised July 2018

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