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6360. Special Worker’s License (3460).

This certifies that ____________, having been duly examined concerning ________ gifts, graces, and usefulness, and being deemed qualified for such service, is hereby made a licensed special worker according to the usages of The Wesleyan Church, and is authorized to serve as a __________* for one year, provided that _________ spirit, practice, and service are in keeping with the Scriptures and The Discipline of The Wesleyan Church.

By order and in behalf of the district conference of the __________ District of The Wesleyan Church, this ______ day of ___________, AD _________.

________________________ District Superintendent ________________________ District Secretary

(*Insert the proper term, such as director of music, director of spiritual formation, youth director, song evangelist, children’s worker, spouse in ministry, lay evangelist or social worker.)

(This license may be renewed annually; and when so renewed, notation shall be made on the reverse side of this form of the date on which such renewal was ordered, and the same shall be attested by the signature of the district superintendent and the district secretary.)