Lay Servant Annual Report to Church Conference greater New jersey annual conference
please check the appropriate box: initial application renewal
This report covers the 12 month period from to (from last to current Church Conference)
Name:	Nickname:
Address:
City:	State:	Zip Code:
Home Phone:	Cell Phone:
Email:
Church:	District:
status of the lay servant
Initial Application: I am applying to begin as a: Local Church Lay Servant ¶267.2 Certified Lay Servant ¶268.2
Renewal: I am applying to renew my status as a: Local Church Lay Servant ¶267.2 Certified Lay Servant ¶268.2
For Basic Lay Servants: What year did you complete your last course? What was the title of the last course you took? Please list the District where you took your last class: Please list the name of the Instructor:
For Certified Lay Servants: What year did you complete your last advanced course? What was the title of the last advanced course you took? What was the title of the last lay speaker course you took? Please list the District where you took your last advanced class: Please list the name of the Instructor:
ministry involvement by the lay servant
During the last year I have participated in Caring ministries as follows: (please check all that apply to you) Provided one-on-one caring: At a hospital, nursing home, or to shut-in(s) In membership/evangelism visitation(s) Served in caring/outreach projects (food pantry, prison ministry, etc.) Other caring activities (please describe):
Participated in Leading ministries as follows: (please check all that apply to you and provide answers) Served as a member of a committee, board, commission, council, task force, etc. Please list: as a volunteer at a community agency (please describe): at my local church (please describe): in my District (please describe): in my Conference (please describe): at N.E. Jurisdiction (please describe): at General Church level (please describe): Other leading activities (please describe):
Participated in Communicating ministries as follows: (please check all that apply to you and provide answers) Delivered sermon during worship service(s). How many times during this year? Delivered devotional messages. How many times during this year? Delivered children’s sermon(s). How many times during this year? Served as worship leader. How many times during this year? Taught Bible Study classes. How many times during this year? Lead prayer group or accountability group. How many times during the year? Other communicating activities (please describe):
Additional opportunities for ministry that you participated in (please describe):
personal and spiritual growth
What books have you read or used during the past year to help you develop your devotional life; improve your understanding of the Bible; improve your understanding of the United Methodist Church; and to improve your skills in caring, leading and communicating?
Do you believe that you have had adequate opportunity for service as a Lay Servant this past year? Yes No If no, please explain:
What additional training or support do you need or would like to suggest?
Give any recommendations you have for improving the Lay Servant ministries in your District or Conference?
REQUEST OF THE LAY SERVANT
I hereby request recommendation by my pastor and my charge to begin/renew as a: Local Church Lay Servant Certified Lay Servant Date: Lay Servant Signature:
PASTOR’S RECOMMENDATION
I hereby recommend this person to begin/renew as a: Local Church Lay Servant Certified Lay Servant Date: Pastor’s Signature:
CHARGE CONFERENCE RECOMMENDATION
The charge conference of recommends this person to begin/renew as a: Local Church Lay Servant Certified Lay Servant Date: District Superintendent’s Signature: