Lay Ministry Initial Enquiry Form

Please fill out all of the parts of this form as fully as you can, using capital letters. For details
on returning the form, please see the bottom of the second sheet.

Part A - Personal Details

Full name of enquirer ……………………………………………………………………………………………

First name by which you prefer to be known ……………………………………………………………………….
Correct mode of address (e.g. Mr or Mrs) …………………………………
Address ………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………..
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Post Code ……………………………… Phone Number ……………………………………………………………………
Email Address ……………………………………………………………………………………………………………………….
Date of Birth ……………………………. Age ………………

Part B - Parish details and Church experience

Parish …………………………………………………………………………………………………………………………………..
Episcopal Area …………………………………………….. Incumbent name ………………………………………….
Contact details of Incumbent ……………………………………………………………………………………………….
Occupation (or previous occupation if retired) ……………………………………………………………………..
Date and place of baptism …………………………………………………………………………………………………….
Date and place of confirmation ……………………………………………………………………………………………..
Details of ministry/service done in the Church in the past, at present and of offices held
……………………………………………………………………………………………………………………………………………….
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Part C - Qualifications
Please tell us what academic qualifications you have by completing as much of the tables below as
possible. Where there are boxes put a tick to indicate what level of qualifications you have.

Qualification Yes/No Number of

No formal Qualifications

GCSE English (or equivalent)

A Levels (or equivalent)

Undergraduate Degree

Postgraduate Degree

Previous Common Awards/theological

qualifications at York St John’s

Part D – Area of Lay Ministry I am Interested in

Please tick the appropriate option below.

A) Licensed Lay/ Reader Ministry

B) Lay Pastoral Ministry
C) Leading Worship
D) Pioneer Ministry
E) Occasional Preachers
F) My parish and I are exploring the possibility of Ordained Ministry
G) I see this as part of a personal process of vocational exploration
H) I wish to join in a study programme for educational purposes only
I) I am not sure at this stage

If you are already licensed as a LLM (Reader) and wish to undertake this study as
part of your continuing ministerial development please check this box: -

Thank you for completing this form. Thank you for completing this form. Please email
completed forms to – pippa.oates@leeds.anglican.org or by post to Pippa Oates, Church
House, 17-19 York Place, Leeds, LS1 2EX.