Form 3 - Election of Lay Member to AC

CHARGE

District

District Email

example@example.com

CHARGE CONFERENCE DATE

Date

Certification of Election by the Charge Conference of the Lay Member(s) of the Annual Conference

Lay Members and alternates of the Annual Conference are elected annually. ¶249.5
Each Charge elects one Lay Member, except when the following rules provide for additional Lay Members. If any ONE of the following applies to a given Charge.
1. Charges comprised of four or more churches shall elect a second Lay Member, provided that no morethan one person shall be elected from any one church.
2. Charges of three or fewer churches, with a total membership of 400-999 shall elect a second LayMember.
3. Charges with membership of 1000 or more shall elect three Lay Members.
4. Charges with multiple Pastors shall elect one Lay Member for each Pastor. (Exception: Local Pastorsmust be full-time.)
Each Charge elects one or more alternate(s) for each Lay Member. If needed, alternates will be selected inthe order in which they are listed.
If a person is elected as an Alternate Lay Member, he/she is not eligible to serve as a member at large andhis/her name should not be submitted as such.
If there is no Lay Member(s) to be elected and/or no Alternate(s), please check None Elected for eachlisting.
Please be sure to review these points regarding changes:
If any of the Lay Members and/or alternates are to be replaced for any reason, the Pastor shall ask the Conference Superintendent in a timely manner for approval to hold a special charge conference for anelection. The Administrative Council may not replace the elected member. The name(s), address(es) andcontact information of the person(s) elected shall be sent to the Conference Secretary and the District Officeon a new form #3.
If the Alternate is to attend Conference in place of the Lay Member, notify the District Office immediatelyto authorize the change and complete the necessary form.

None elected

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

Age at time of Conference

12-1819-3031 and over

Email

example@example.com

Phone

Church

None elected

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

Age at time of Conference

12-1819-3031 and over

Email

example@example.com

Phone

Church

None elected

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

Age at time of Conference

12-1819-3031 and over

Email

example@example.com

Phone

Church

None elected

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

Age at time of Conference

12-1819-3031 and over

Email

example@example.com

Phone

Church

None elected

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

Age at time of Conference

12-1819-3031 and over

Email

example@example.com

Phone

Church

None elected

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

Age at time of Conference

12-1819-3031 and over

Email

example@example.com

Phone

Church

DO NOT LIST ANY MEMBERS AT LARGE

DO NOT LIST ANY PERSONS ATTENDING CONFERENCE BY VIRTUE OF POSITION (CONFERENCE LAY LEADER, CONFERENCE UMW PRESIDENT, ETC.) UNLESS THAT PERSON IS ALSO SERVING AS THE CHURCH/CHARGEREPRESENTATIVE

Name

First NameLast Name

Form Email

example@example.com

Please verify that you are human*

Certification of Election by the Charge Conference

First Lay Member

Second Lay Member

Third Lay Member

Alternate

Alternate

Alternate

Form Submission Info