Board of Lay Ministry: Application 01 Application for Certification as a Lay Minister ሺLMሻ Personal Background _____________________________________________________________________________________ Name: First
Middle
_____________________________________________________________________________________ Address: Street City State Zip Best Contact: ___________________________ Birthdate: _______________________________ Cell
Home
Work
Month
Day
Year
_____________________________________________________________________________________ Email address ______________________________ Occupation
____________________________ Marital Status
___________________ Gender
Educational Background _______________________________________________________________ Name of High School
__________________ Graduation year
____________________________________ University
________________________ __________________ Degree / Major Year
____________________________________ Graduate School
________________________ __________________ Degree / Major Year
Church Background and Service
AP SS
CM SM
HI TV
MV NR TR District
_______________________________________UMC Church Membership
I have been a member of The United Methodist Church for __________ years. I have been a member of my current church for __________ years. What key area of ministry are you called to perform or lead and which your pastor wishes you to serve in your current church? ________________________________________________________ _________________________________________________________________________________ I wish to be assigned to a specific church. [__] Yes [__] No. If yes, I would like to be assigned to ____________________________________________________________________________ UMC.
Revised: 2020‐05‐07
Board of Lay Ministry: Application 01
Date I completed the basic coursework for certification: (four modules prepared by GBOD & GBHEM) (to be completed after completion of training)
[__] I am / [__] I am not a Certified Lay Servant.
Month
Day
Year
[__] I am / [__] I am not a Certified Lay Speaker.
Describe your service in the UMC, including any leadership positions in which you have served:
___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Pastor Signature
Date
_____________________________________________ Applicant Signature
________________________________ Date
_____________________________________________ (Equipping Pastor or Trainer) Certification of Completion of Training: Signature
________________________________ Date
Revised: 2020‐05‐07