Lay Delegate Certification Form 2021

**DUE MONDAY, SEPTEMBER 20, 2021** This form, which must be completed by the church's Secretary of Church Governing Board, certifies that the individual below was elected as a lay delegate for the annual District & Prayer Conference of the North Central District of The C&MA, convening in Sioux Falls, SD on October 11-13, 2021. If a church has more than one lay delegate, please resubmit this form for each individual. Please note that they will still need to register for District Conference. Registration is open from June 1-September 27, 2021 at https://tithe.ly/event-registration/#/2933286.

Excerpt from the District Constitution

ARTICLE II. ORGANIZATION AND GOVERNMENT Section 1. District Conference A. Accredited Delegates. Those eligible to be accredited delegates to the District Conference shall be limited to the following individuals: (3) Lay delegates as follows: a. The church shall appoint and certify lay delegates as specified in the local church bylaws. b. Each accredited church of The Christian and Missionary Alliance shall be entitled to send its pastor and two lay delegates. If the voting membership (as reported in the last annual report of the church) is 150 or more, another lay delegate may be sent for each additional 100 voting members or fraction thereof. c. Each affiliated church of The Christian and Missionary Alliance shall appoint and certify one lay delegate as specified in the local church bylaws.

Church Name*

Church City, ST*

Secretary's Full Name*

of church governing board

Secretary's Email*

of church governing board

Lay Delegate's Full Name*

Lay Delegate's Email*

Date of Governing Board Meeting*

When lay delegate was approved

Minutes from Governing Board Meeting*

When lay delegate was approved

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