ICC REQUEST FOR FUNERAL SERVICE 2012
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IMANI COMMUNITY CHURCH
MEMBER REQUEST FOR FUNERAL SERVICES
A funeral is a sacred occasion. We are so sorry for your loss but celebrate with you the
home-going of your loved one. The IMANI COMMUNITY CHURCH ministerial and lay
staff want to minister to its members and the immediate family during these difficult days.
The following information has been prepared to assist you in the planning of a service that
will honor our Lord and Savior Jesus Christ by lifting the memory of your loved one whose
life is being celebrated. This information is our way of helping you know what Imani
Community Church can do to assist you during this time.
1. AVAILABILITY OF WORSHIP CENTER AND OTHER CHURCH FACILITIES
Imani Community Church does not have chapel or worship center building facilities, however
you may request, directly, the use of other church building facilities or a funeral home space. Our
church, however does own space that may support your family’s repast or gathering space after
the funeral or burial. The Imani Community Church’s ministerial staff will do everything
possible to support your family’s choice to use our campus for a repast after the funeral service.
The Minister of Pastoral Care will assist you with planning, and a minister will be assigned to
support your spiritual needs during this difficult time. The following guidelines will assist you
and us:
1.1 Funeral services must be scheduled in such a way that they do not conflict with Worship
Services or scheduled ministry. A service may begin between 11:00 am and 1:00 pm Monday
through Saturday, for a duration of 1 hour or less, and the repast should be completed within two
hours of the end of the funeral service at the church, allowing the room to be restored by 4:00
pm. We extend our apologies that we cannot offer Sunday funerals.
1.2 Fees for services are listed on page 2.
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2. MINISTERIAL PARTICIPATION IN THE SERVICE
The funeral service for your loved one is a very important time for your family and friends and it
is very important to us. It is essential that the elements of the service be consistent with the
Christian beliefs and standards of Imani Community Church.
2.1 One of our ministerial staff will assist in the leading of the service.
2.2 Prior approval must be given by the Senior Pastor before scheduling a funeral service that
would be performed by a minister not currently on our staff. One of our ministers will extend a
greeting on behalf of IMANI COMMUNITY CHURCH to the family and friends during such a
service.
3. PLANNING THE SERVICE AND MUSIC
The funeral service is a sacred service. Therefore, all music must be consistent with the Christian
faith and standards of Imani Community Church.
3.1 The Senior Pastor must approve the program brochure whether or not you have it printed
elsewhere. It should be provided to the Minister of Pastor Care no later than 48 hours before the
service, preferably sooner. Please make a formal request if you need suggestions for the order of
service.
3.2 It is appropriate for members and customary to give our musician a love gift of minimally
$200.00 for in-town accompaniment service and it should be given to the Minister of Pastoral
Care in an envelope addressed “Musician.”
3.3 Members customarily give the minister officiant of the funeral an honorarium of minimally
$250.00 for officiating in-town service and it should be given to the Minister of Pastoral Care in
an envelope addressed “Musician.”
3.4 Should travel be required to and from the funeral and not provided by the family, the expense
shall be paid by the family for automobile, airline, or hotel transfers. Please provide money
orders or cashier’s checks for all payments.
4. FLOWERS AND DECORATIONS
4.1 Displays or pictures must be appropriate to a Christian Worship setting.
4.2 It is the responsibility of the presiding funeral home to work with the Minister of Pastoral
Care and the family for the desired disposition of the flowers and decorations, no later than 2
hours after the conclusion of the service and no later than 5:00 pm (for items displayed on
church-owned facilities).
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4.3 Floral tape may be used. Nails, tacks, staples or screws in the walls or the pews are not
permitted.
4.4 We will be unable to move furniture from the platform or choir loft for the service.
5. PARKING / TRAFFIC ASSISTANCE
Your funeral director should arrange and obtain security and parking assistance from the local
police or sheriff at the family’s expense.
6. FAMILY REPAST / FELLOWSHIP MEAL
As space allows, the church will do everything possible to accommodate requests for the use our
own church’s Fellowship Hall or other necessary rooms for a repast/family fellowship meal
following a funeral. The following guidelines apply to fellowship meals:
6.1 Room availability will be determined based on previously committed times/days on the
Church calendar.
6.2 Repasts are scheduled Monday - Saturday in such a way as to not conflict with Worship
Services or scheduled ministry; therefore, they must be completed and the room fully restored by
4:00 pm.
6.3 Consumption of alcohol and/or smoking is not permitted on any part of the Imani
Community Church campus, including parking lots, houses, condos, out-house structures, etc.
6.4 IMANI COMMUNITY CHURCH assumes no liability for food from outside sources.
6.5 The church provides a standard menu for members including vegetables, meats, desserts,
paper products and drinks of punch / tea. If the family also wants to bring items from home, the
church will serve it for you. We will need to know the approximate number of guests.
6.6 The Church will package remaining food that you bring for you to take with you. All food
must be picked up no later than 1 hour after the repast begins so that the kitchen may be
cleaned. The repast must conclude no later than 2 hours after the end of the funeral service at
church, which allows time for burial.
7. MEMORIALS / TRUST FUNDS
7.1 Funds designated for an established project at the church will be received by the church as
part of a memorial fund.
7.2 Funds designated for a project not previously established at the church will be received by
the church only after specific approval of the Senior Pastor, Assistant Pastor and Trustee/
Minister of Finance Administration.
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7.3 In certain circumstances, the family might request a trust fund or contribution to a charitable
organization in lieu of flowers. These arrangements must be made with an organization outside
the church. The church is unable to manage, receive or distribute designated funds for an
outside institution.
8. GIFTS OF PHYSICAL ASSETS
The church welcomes such physical gifts as a library, automobiles, computers, and must first
obtain approval by the Senior Pastor, Assistant Pastor and Trustee/ Minister of Finance
Administration. The donor family must make the arrangement and pay to transport and deliver
that property to prove and grant clear title, access, and assets to the church should and upon the
church’s acceptance. ICC is unable to enter private or public property, access dwellings, arrange,
transport or remove property from such dwellings.
Please let our Minister of Pastoral Care know if you have additional questions.
“But we do not want you to be uninformed, brothers, about those who are asleep, that you may
not grieve as others do who have no hope. For since we believe that Jesus died and rose again,
even so, through Jesus, God will bring with him those who have fallen asleep. For this we
declare to you by a word from the Lord, that we who are alive, who are left until the coming of
the Lord, will not precede those who have fallen asleep. For the Lord himself will descend from
heaven with a cry of command, with the voice of an archangel, and with the sound of the
trumpet of God. And the dead in Christ will rise first. Then we who are alive, who are left, will
be caught up together with them in the clouds to meet the Lord in the air, and so we will always
be with the Lord. Therefore encourage one another with these words.”
1 Thessalonians 4:13-18 (English Standard Version)
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MEMBER REQUEST FOR FUNERAL SERVICES
PLEASE PRINT
DATE SERVICE REQUESTED: _________/________/_______ Time:_____(a.m.) ____(p.m.)
Month Day Year
LOCATION OF SERVICE: ________________________ ___________ ________ ________
Church’s full name City State Zip
FULL NAME OF DECEASED:
___________________________________________________________________________
First Middle Last
Address:_____________________________________________________________________
Street / Apartment No. City State Zip Code
Home Phone: ____________ Age: _________
Was deceased a member of Imani Community Church? ______Yes ______No
Was deceased a Christian? ____Yes ____No When/where baptized?____________________
If not, please provide name of Church where membership is:____________________________
• Note: If non-member, please use non-member application.
FUNERAL HOME BEING USED: _______________________________________________
Copy of applicant’s photo ID, please attach. Copied and verifies by ____________________ .
APPLICANT’S NAME: ________________________________________________________
APPLICANT’S ADDRESS: ______________________________________________________
Relationship to Deceased: __________________ Contact Phone No: _________________
INDICATE FACILITIES NEEDED:
______ICC Complex Fellowship Hall _______Multipurpose Room
_____ Counseling Room _______Kitchen ______Grounds back/front yard
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INDICATE EQUIPMENT / SERVICES NEEDED:
_____Video Projection Operator ____Musician
_____Chair(s) _____Organ _____Piano _____Table(s)
_____TV/VCR (Fellowship Hall / MultiPurpose Room)
_____Video and Sound System Operator (required for service __ repast____)
FEES FOR MEMBER USE OF FACILITIES, EQUIPMENT AND SERVICES
Make Cashiers Checks only, Payable to Imani Community Church. Personal checks or
cash not accepted.
The following fees are required for use of facilities, equipment and services for persons who are
active members of Imani Community Church:
Fees are due at time of submission of application for services and no less than 48 hours before
the funeral.
Please indicate any other special instructions or requests:________________________________
TOTAL DUE: $______________ TOTAL PAID: $____________ DATE: _____________
Applicant’s Signature:___________________________________________________________
Printed Name ___________________________________ Date Signed____________________
Reviewed By:
Minister of Pastoral Care: _____________________________________ Date: _____________
Trustee/Minister of Administration:______________________________ Date: _____________
Cc: Dr. Jacquelyn Donald-Mims, Pastor; Director of Finance
Notify: _____Assistant Pastor _____Dir of Facilities _____ Dir. Of Multimedia
_____Dir. Christian Education (To notify all ministries and musician and report back on status
checklist to Min.of Pastoral Care/Funeral Coordinator) Facilities.
SERVICES & EQUIPMENT COST - SEE ICC TRUSTEE
Office Use
Musician Love Gift $175 - $200
Extended Repast 100.00
Pastoral Honorarium includes Pastoral Care Planner and Funeral Officiant $300
Travel expences: lodging, hotel _______; automobile _______; airfare_______ .
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FUNERAL PLANNING FORM FOR FAMILY
Biographical information on the deceased.
Name of digital file: _________________________.doc .
1.__________________________________________________________
2.__________________________________________________________
3.__________________________________________________________
4.__________________________________________________________
List Pallbearers
1.__________________________________________________________
2.__________________________________________________________
3.__________________________________________________________
4.__________________________________________________________
Musical Tribute
Musician: _______________________________________________________________
Hymn of Comfort:_________________________________________________________
Solos: 1.) ________________________________________________________________
2.) _______________________________________________________________
Scriptures: Old Testament ____________________New Testament______________________
Prayer of Comfort: _____________________________________________________________
Poem: ________________________________Remarks:________________________________
Reflections: total of 15 minutes will be allocated. _____________________________________
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Name of speakers: 2 minutes each. ________________________________
_________________________________________
_________________________________________
_________________________________________
Interment / Burial Place / Name and Address: _______________________________________
____________________________________________________________________________
Obituary:_____________________________________________________________________
Note: You may request a sample from the funeral coordinator.
Name of Funeral Home __________________________________________________________
Address of funeral home________________________________________________________
Name of digital file of photos:_________________________. Please email or provide on a disk.
Name of digital file of bio: ___________________________. Please email or provide on a disk.
8 Imani Community Church - - Request for Funeral Revision June 2012
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