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 Affiliation

Search by city. Multiple and Other are at the top of list. Scroll or begin typing.

*Affiliation Details - Please describe
District
Who is recommending you?
Pastor's name
Pastor's Signature (to be added on print copy for charge/church conference packet)
Ad Council Chair's name
Ad Council Chair's signature (to be added on print copy for charge/church conference packet)
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

After you submit your report online, please remember to print a copy to submit to your church for inclusion in the charge/church conference packet.  (It is recommended that you print the condensed version.) Once it is printed, remember to have the pastor and ad council chair add their signatures.

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