Lay Speaker Annual Report

LAY SPEAKER ANNUAL REPORT REQUEST FOR CERTIFICATION/RENEWAL

DISTRICT OF THE ALABAMA-WEST FLORIDA CONFERENCE

THIS REPORT IS FOR THE YEAR NAME (include Mrs., Mr., Ms)

ADDRESS

City State Zip Code

HOME PHONE CELL PHONE

WORK PHONE EMAIL

NAME OF CHURCH UMC

REQUEST FOR INITIAL CERTIFICATION (*) or RENEWAL AS A LAY SPEAKER

(*) CERTIFICATION IS ONLY AFTER ALL 6 COURSES HAVE BEEN TAKEN

Certification OR Renewal as a Lay Speaker (if RENEWAL continued to second page)

REQUEST FOR CERTIFICATION

WHAT YEAR DID YOU COMPLETE YOUR BASIC COURSE?

WHICH OF THE FOLLOWING REQUIRED COURSES HAVE YOU TAKEN? (Please list INCLUDING the YEAR, LOCATION AND INSTRUCTOR)

1. Leading Worship 2. Leading Prayer 3. Discover Your Spiritual Gifts 4. Preaching 5. United Methodist Heritage 6. United Methodist Policy

WHAT OTHER COUSRES HAVE YOU TAKEN? (Please list INCLUDING the YEAR, LOCATION AND INSTRUCTOR)

RECOMMENDATION OF YOUR PASTOR: I recommend that this candidate be CERTIFIED in the Lay Speaker Ministries Program

Pastor’s Signature Date:

THE CHARGE CONFERENCE OF UMC recommends that this candidate be CERTIFIED in the Lay Speaker’s Ministries Program.

District Superintendent Signature Church Council Chairman Signature Date: Page 2 of 3 REQUEST FOR RENEWAL

Church

LIST LAST ADVANCED COURSE TAKEN

WHEN? WHERE?

INSTRUCTOR(S)?

RECOMMENDATION OF PASTOR: I recommend that this candidate be RENEWED in the Lay Speaker program for the next year.

Pastor Signature Date

THE CHARGE CONFERENCE OF UMC recommends that this candidate be renewed for the ensuing year in the Lay Speaker Program.

District Superintendent Signature Church Council Chairman Signature

Date: LAY SPEAKER ANNUAL REPORT Page 3 of 3

I delivered a message (if certified) of times in different churches

Please list the names of churches below :

I use my talents in my own church, other churches, my community, and conference in the following ways:

In what activities, seminars, studies have you engaged and/or books have you read to help you develop your spiritual life, improve your understanding of the Bible, and/or the United Methodist Church, or to improve your skills, or caring, leading, praying and communicating in the last year?

Please provide any feedback that will help us improve the Lay Speaking Ministry in your District and/or our Conference. What additional training or support do you need and what recommendations do you have for your Lay Speaking Committee?

Positions held in my: Local Church: District: Conference: Jurisdiction:

LAY SPEAKERS: THIS REPORT MUST BE TURNED IN TO YOUR PASTOR TO BE INCLUDED IN YOUR CHURCH’S CHARGE CONFERENCE PACKET. PLEASE KEEP A COPY FOR YOUR OWN RECORDS.

DISTRICT OFFICE: PLEASE FORWARD A COPY OF THIS REPORT TO YOUR DISTRICT LAY SERVANT DIRECTOR.

ACTION BY THE DISTRICT COMMITTEE ON LAY SPEAKING MINISTRIES

This request for renewal is hereby: approved disapproved

Signed: Date:

District Director or District Committee Chairman of Lay Speaking Ministries

DISTRICT DIRECTORS: AFTER APPROVAL, PLEASE FORWARD THIS REPORT TO TRACI HERNDON AT THE CONFERENCE OFFICE FOR DATABASE BASE PURPOSES. CCLSM Form 3 July 2014 This form supersedes all previous versions