<p> Certified Lay Minister Application Virginia Conference</p><p>Full Name: ______Attach Form 102 Biographical Form Email: ______SCSO Background Check ______Kroll Expanded Background Check ______</p><p>Church Membership: ______United Methodist Church</p><p>Certified as a Lay Speaking Minister by ______United Methodist Church Council or Charge Conference on ______(date).</p><p>Reasons for application - ______</p><p>Local church service demonstrating your appreciation of the history, polity, doctrine, worship and liturgy of the United Methodist Church ______</p><p>Lay Speaking Course(s) completed: ______</p><p>I hereby request approval as a Certified Lay Minister (The Book of Discipline2004, ¶271)</p><p>Signed: ______Date: ______Applicant</p><p>Recommendation of the Pastor and the Vote of the Church Council or Charge Conference</p><p>Signed: ______Date: ______Pastor</p><p>Recommendation of the District Superintendent</p><p>Signed: ______Date: ______District Superintendent</p><p>Approval of the District Committee on Ordained Ministry</p><p>Signed: ______Date: ______Chair of District Committee on Ordained Ministry Form: Sept. 2007</p>