Report of Certified Lay Servant (Form 2)

Report of Certified Lay Servant (Form 2)

*First Name
*Last Name
Address 1
Address 2
City
State
Zip
Phone
*Email
Church
District
Who is recommending you?
Pastor's name
Ad Council Chair's name
Lay Servant Ministry, Conference, or other classes/workshops attended this year (if any)

Certification requires one approved class every three years.

Class and date
Class and date
Class and date
Class and date
Class and date
Class and date
Please list church/district/conference/community ministry leadership you have provided in the past year
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