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Missionary Diocese of the South and Ozarks

United Episcopal Church of North America

About the Diocese
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About the Diocese
News
Resources
Join Us
Contact Us

Missionary Diocese of the South and Ozarks

United Episcopal Church of North America

About the Diocese
News
Resources
Join Us
Contact Us

Request for Licensing a Lay Reader

The form below should be completed by …

the Rector/Vicar of the congregation where the Lay Reader will serve; or,
the Senior Warden of the congregation, if there is no pastor; or,
the bishop’s designee, in extraordinary cases.

If desired, a printed copy may be completed and mailed to the diocesan office.

Print a form to submit by mail

Requestor's Information

Requestor's Name *

First

Last

Requestor's Role *

Rector
Vicar
Senior Warden
Bishop’s designee

Church Name *

Candidate's Information

Candidate's Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email Address *

Email

Confirm Email

Candidate's Background

Date of birth *

Has the candidate been baptized? *

Yes
No

Date of baptism *

Baptized by whom? *

First

Last

Has the candidate been confirmed or received into membership in the United Episcopal Church? *

Yes
No

Date of confirmation or reception *

Confirmed or received by whom? *

First

Last

Has the candidate regularly attended services with your congregation for the past six months? *

Yes
No

Where has the candidate regularly attended services for the past six months? *

Does the candidate regularly financially support your congregation? *

Yes
No

Does the candidate regularly financially support the church? *

Yes
No

Is the candidate currently under church discipline? *

Yes
No

To your knowledge, does the candidate engage in any ungodly practice that would bring reproach to the name of Christ or the church? *

Yes
No

Has the candidate completed the required diocesan Lay Reader training program? *

Yes
No

Date of completion of diocesan Lay Reader training program *

Is the candidate currently engaged in the required diocesan Lay Reader training program? *

Yes
No

With what part of the Lay Reader training program is the candidate currently engaged? *

Enrolled in a course with Latimer Theological Institute
Studying resources from the Lay Reader training page of the diocesan website

Has the candidate previously been licensed as a Lay Reader in any church? *

Yes
No

This does not include serving in any role other than Lay Reader.

Date of previous license *

Previously licensed by whom? *

First

Last

Are you requesting the candidate be licensed to preach sermons of his own composition? *

Yes
No

Has the candidate completed the bishop’s requirements for being licensed to preach sermons of his own composition? *

Yes
No

These requirements are specified by the bishop after individual assessment.

Date of completion of requirements for license to preach *

Requestor's Submission

Requestor's Comments

Do you wish to share any other details about the candidate?

Requestor's Acknowledgement *

Acknowledged

I hereby request that this candidate be licensed as a Lay Reader in the Missionary Diocese of the South and Ozarks. I acknowledge that a Lay Reader may not distribute Holy Communion under any circumstances. I acknowledge that a Lay Reader license must be renewed at least annually, and I will not permit a Lay Reader to serve in this role if his license has expired.

Requestor's Signature *

Clear Signature

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Please note, this link should not be shared and will expire in 30 days. Afterwards, your form entry will be deleted.

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