Report of Certified Lay Speaker (Form 2)

Report of Certified Lay Speaker (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 pulpit supply, worship leadership and church speaking opportunities you have provided in the past year
Please list church/district/conference/community ministry leadership you have provided in the past year
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