Ann Arbor District Lay Servant Ministries Annual Report
Detroit Conference of The United Methodist Church
Due at Church Conference
NOTE: Return this form (immediately following Church Conference) to: Anne Marie Hanna 
 341 Lafayette -- PO Box 787
Manchester, MI 48158
or E-mail to: --- Do not send to the District Office
This report is required for Local Church/Certified Lay Servants and Lay Speakers. A Lay Servant/Speaker needs to annually submit this form to his/her pastor prior to their church conference for approval by the pastor and the church conference.
Part 1. INFORMATION ON THE LAY SERVANT/LAY SPEAKER
Name______
Home Phone ______Cell Phone ______E-mail address: ______
Address ______
(Street/P. O. Box Number) (City) (State) (Zip Code)
Member of ______Church Name of Pastor______
Part 2. STATUS OF THE LAY SERVANT/LAY SPEAKER (Please check only one box)
 I am applying for RENEWAL as a Local Church Lay Servant.
 I am applying for RENEWAL as a Certified Lay Servant.
 I am applying for RENEWAL as a Certified Lay Servant.
Part 3. REQUEST OF THE LAY SERVANT/LAY SPEAKER
I request the recommendation of my pastor and my Church Conference to continue as a
 Lay Speaker  Certified Lay Servant  Local Church Lay Servant for the ensuing year.
______
Date Signature of Lay Servant
Part 4. RECOMMENDATION OF THE PASTOR
I recommend this church member to be a
 Lay Speaker  Certified Lay Servant  Local Church Lay Servant for the ensuing year.
______
Date Signature of the Pastor
Part 5. CHURCH CONFERENCE RECOMMENDATION
The Church Conference of ______United Methodist Church recommends the above member
to be a  Lay Speaker  Certified Lay Servant  Local Church Lay Servant for the ensuing year.
______
Date of Meeting Signature of the Ann Arbor District Superintendent
Part 6. ACTION BY THE ANN ARBOR DISTRICT COMMITTEE ON LAY SERVANT MINISTRIES
This application to be a  Lay Speaker  Certified Lay Servant  Local Church Lay Servant
in the Ann Arbor District of the Detroit Conference is  approved  not approved for the ensuing year.
______
Date Signature of the Ann Arbor District Director of Lay Servant Ministries
COMPLETE BOTH SIDES OF THE FORM
Part 7. MINISTRIES BY THE LAY SERVANT/LAY SPEAKER
During the past year, I have participated in these ministry opportunities:
 served as a MEMBER of a committee, board/council, task force, etc.
 at my local church (what) ______
 beyond my local church:
 in my district (what) ______
 in my conference (what) ______
 in my jurisdiction (what) ______
 at the general church level (what) ______
_
 served as CHAIRPERSON of committee, board/council, task force, etc. (what) ______
______
 served as LAY LEADER
 taught classes (what) ______
 served as a leader/liturgist in worship (how many times) ______
 preached in worship services (where, how many) ______
 gave devotional messages (where, how many) ______
 provided one-on-one caring:
 at a hospital, nursing home, and/or to a shut-in  in membership/evangelism visitation
 other: ______
 served as a volunteer in a community board/agency (what) ______
______
Additional leading, caring, and communicating ministries participation (what) ______
______
Part 8. PERSONAL AND SPIRITUAL GROWTH BY THE LAY SERVANT/LAY SPEAKER
What activities have you done. and what books have you read and/or used during the past year to help develop your devotional
life, improve your understanding of the Bible, improve your understanding of The United Methodist Church, and improve your
skills in leading, caring, and communicating ministries?
Part 9. FEEDBACK BY THE LAY SERVANT/LAY SPEAKER
Have you had adequate opportunity to serve in lay servant/speaker (caring, communicating, leading ministries) this year?
 Yes  No (If no, please explain.)
What additional training or support do you need?
What recommendations do you have for improving lay servant and/or lay speaker ministries in the Ann Arbor District?
May 2016
