Lay Speaker S Annual Report

LAY SERVANT’S ANNUAL REPORT

UPPER NEW YORK CONFERENCE/THE UNITED METHODIST CHURCH

REPORT OF THE LAY SERVANT TO THE CHARGE CONFERENCE

Initial Application or Request for Renewal

This report covers the 12-month period from ______to ______, 20__

(either January-December or from last to current charge conference)

(PLEASE PRINT OR TYPE)

PART 1. DATA ON THE LAY SERVANT

Name ______Mr. Mrs. Ms. Name of District ______

What name do you go by (i.e. Sue, Bob, Jim)? ______Name of Church ______

Address ______Church Address ______

City/State/Zip ______City/State/Zip ______

Home Telephone ______Work Telephone ______Church Telephone ______

Cell Phone ______Email Address ______

PART 2. STATUS OF THE LAY SERVANT

I am applying to BEGIN as a: I am applying for RENEWAL as a:

 local church lay servant or certified lay servant  local lay servant or  certified lay servant

I  have completed the Basic Lay Servant course date_____ Date of the latest advanced or refresher course I took: ______

I  have completed my first advanced course date_____ The Name of the LAST advanced or refresher course I took:

The name of the course ______

(Please complete the other side of this form.)

______

PART 3. REQUEST OF THE LAY SERVANT

I hereby request recommendation of my pastor and my charge conference to begin or renew as a  local church lay servant or

 certified lay servant for the ensuing year.

______

(Date)(Signed – Lay Servant)

______

PART 4. RECOMMENDATION OF THE PASTOR

I recommend concurrence with the request of this lay servant to begin or renew as a  local church lay servant or

 certified lay servant for the ensuing year.

______

(Date)(Signed – Pastor)

______

PART 5. CHARGE CONFERENCE RECOMMENDATION

The charge conference of the ______(church or charge) recommends that the above lay servant begin or renew as a  local church lay servant or  certified lay servant for the ensuing year.

______

(Date)(Signed – District Superintendent)

______

PART 6. ACTION BY THE DISTRICT COMMITTEE ON LAY SERVANT MINISTRIES

This application to begin or be renewed as a  local church lay servant or  certified lay servant within the Genesee Valley District of the Upper New York Conference is  approved  disapproved for the ensuing year.

______

(Date)(Signed – Chair, District Committee on Lay Servant Ministries)

LAY SERVANT’S ANNUAL REPORT(Continued)

PART 7. MINISTRIES BY THE LAY SERVANT

During the past year I have participated in these ministry opportunities:

 served as MEMBER of committee, board commission, council, task force:

 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 CHAIR of committee, boards, task force (what) ______

 served as a volunteer at a community agency (what) ______

 served as a volunteer in a caregiving institution (what) ______

 provided one-on-one caring:

 at a hospital, at a nursing home, or to a shut-in

 in membership/evangelism visitation

 other: ______

 provided leadership in caring/outreach projects (such as a food pantry, prison ministry, Society of St.Stephen) (what) ____

______

 taught classes (what, how many) ______

 served as a worship leader in services (how many) ______

 delivered devotional messages (where, how many) ______

 preached in worship services (where, how many) ______

Additional opportunities for leading, caring, and communicating ministries participated in by the lay servant (describe opportunity and your part in it): ______

______

PART 8. PERSONAL AND SPIRITUAL GROWTH BY THE LAY SERVANT

In what activities have you engaged and/or what books have you read and 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 improve your skills in leading, caring, and communicating?

______

______

______

PART 9: FEEDBACK BY THE LAY SERVANT

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? ______

______

______

Give any recommendations you have for improving the Lay Servant Ministries in your district or annual conference: ______

______

______

______

When Parts 1, 2, 3, 4, 5, 7, 8, and 9 have been completed, please make a copy for yourself and forward the original to:

for the Committee’s action.