St. John Lutheran Church

146 6th Ave. W.  Dickinson, ND 58601   Phone (701) 225-6747 Fax (701) 225-3069

                                                                                                  

    Information for Arranging My Funeral                 

                                                             

       Make copies of this completed form and give them      

       to individuals who will be involved with arranging your             

       funeral.  Provide one copy to St. John Lutheran Chrrch

      

 

A.  Your Personal Information

 

  Name _________________________________________________Phone___________________

  Home address___________________________________________________________________

  City_____________________________     State____________    Zip code___________________

  Date of birth_____________________Place of birth_____________________________________

 

B.  Contact Information. Family members to be contacted at time of your death.

   Name_________________________________           Relationship______________________

   Phone numbers___________________________________  City__________________  State______

 

   Name_________________________________           Relationship______________________

   Phone numbers___________________________________  City__________________  State______

 

C.   Arrangements.

 

   If you would like your body, or parts of it, to be used for medical purposes, indicate the location of necessary documents providing for your donation.

 

   Location of documents____________________________________________________________

 

   What funeral home do you wish to handle your funeral?

 

   Name__________________________________________________________________________

 

   City and State___________________________________________________________________

 

   If you live in Dickinson and the funeral home you’ve chosen is not in Dickinson, give the name of a Dickinson funeral home for local arrangements:  

 

    ______________________________________________________________________________

 

 

 Check one of the following

 

  ___ I want to be cremated with ashes to be buried at

         Place ____________________________    City and state__________________________

 

  ___ I want to be cremated with ashes placed or disposed of (according to any state laws)

         Place___________________________________  City and state_________________________

 

         Specific disposal directions_______________________________________________________

 

  ____ I want burial in a casket

           Cemetery or mausoleum____________________City and state________________________

 

Have you purchased a plot in a Dickinson cemetery or a vault in the mausoleum? ___ Yes   ___ No

 

If you have a cemetery plot, indicate the name of the cemetery _______________________________

 

Casket cost:    ____ low       ____ moderate    ___ high     Comments__________________________

 

 ________________________________________________________________________________

 

  Do you wish to have your body viewed?  ___ Yes, at funeral home ___ Yes, at church  ___ No

 

  I prefer memorials designated to the following organizations:  ______________________________

 

  _______________________________________________________________________________

 

  __________________________________________________________________________

 

 

D.  The Funeral

 

  Where do you want your funeral held?  Check one.

 

  ____  Church __________________________________________________________________

            City (if away from Dickinson) ________________________________________________

 

  ____  Funeral Home _____________________________________________________________

            City (if away from Dickinson)_________________________________________________

 

  Do you desire a family/prayer service the evening before the funeral? ___ Yes   ___ No

 

  If yes, is it to be private (family and close friends only) or public? ____ Private ___ Public

 

  Do you desire a reception following the funeral? _____ Yes    _____ No

                       

E.   Participants in the funeral

 

  Clergy __________________________________ Eulogist(s) ______________________________

 

  Lectors or assisting ministers _______________________________________________________

 

  Cross bearer and/or paschal candle bearer _____________________________________________

 

  Organist or pianist_________________________________________________________________

 

   Soloist(s)/other musicians___________________________________________________________

 

   Pallbearers (casket bearers and honorary, if desired):_____________________________________

 

   _______________________________________________________________________________

 

   _______________________________________________________________________________

           

F.   The Funeral Service.  (See the following pages for suggested Biblical texts and hymns)

 

  Biblical texts

 

            Old Testament_____________________________  Psalm ____________________________

 

            Epistle _________________________________Gospel ______________________________

 

  Other readings ___________________________________________________________

 

  Congregational hymns ______________________________________________________

 

   _________________________________________________________________________

 

  Other music  ____________________________________________________________

 

 ___________________________________________________________________________

 

  Communion at the funeral  _____ Yes ____ No

 

   I have these additional requests _________________________________________________

 

   ___________________________________________________________________________

 

   ___________________________________________________________________________

 

   ___________________________________________________________________________

 

F.  Obituary Information

 

  List family members_________________________________________________________________

 

 __________________________________________________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

   Provide background information about yourself that you want included in an obituary. This may include education, work, organizations, accomplishments, etc.

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

The following newspapers should receive my obituary___________________________________

 

__________________________________________________________________________________

 

 

G.  These Arrangements

 

   I have provided a copy of these plans to the following people, church, and/or funeral home

 

  Name ___________________________________________________________________

 

  Name ___________________________________________________________________

 

  Name ____________________________________________________________________

 

   (Do not put this form in your safety deposit box.  This is information needed by your church and your family immediately at the time of your death.)

St. John Lutheran Church

 

SUGGESTED SCRIPTURE READINGS FOR FUNERALS.

 

In addition to a reading from the gospel, other texts may include a reading from the Old Testament, the Psalms and/or the New Testament.

 

1.   Old Testament  (First Readings)

 

            Verses                                     Theme

            Job 19:23-27                           My Redeemer lives    

            Proverbs 31:10-31                   Portrait of a godly woman

            Ecclesiastes 3:1-8                    For everything there is a season

            Isaiah 25:6-9                           God will swallow up death forever

 

            Isaiah 35:3-10                         The ransomed shall return

            Isaiah 40:1-11                         He shall feed his flock

            Isaiah 40:27-31                       They who wait for the Lord

            Isaiah 43:1-3, 18-19, 25          I am going to do a new thing

 

            Isaiah 55:1-3,6-13                   God’s gracious covenant

            Isaiah 61:1-4,10-11                 The Spirit of the Lord is upon me

            Isaiah 65:17-25                       A new heaven and a new earth

            Jeremiah 31:31-34                   Written on the heart

            Zechariah 8:1-8                       Children at play in God’s city

 

2.   Psalms

 

            Verses                                     Theme

            Psalm 23                                  The Lord is my shepherd

            Psalm 34:1-8                           Taste and see that the Lord is good

            Psalm 42:1-6a                          As the deer longs for flowing streams

            Psalm 46                                  God is our refuge and strength

 

            Psalm 90:1-6,10,12-17            So teach us to number our days

            Psalm 91:1-2,9-12,14-16         In the shadow of the Almighty

            Psalm 103:1-5,10-18               God’s steadfast love

            Psalm 116:1-9,12-15               Precious is the death of his saints

 

            Psalm 121                                The Lord will keep you

            Psalm 130                                Out of the depths

            Psalm 139:1-12,23-24             Pursued by God

            Psalm 143                                Hear my prayer, O Lord

 

           

3.   New Testament (Second Readings)

 

            Verses                                     Theme

            Romans 5:1-11                        While we were yet sinners

            Romans 6:3-9                          Baptized into Christ’s death.

            Romans 8:14-23                      Joint heirs with Christ

            Romans 8:31-35,37-39            Who shall separate us?

 

            1 Corinthians 13                      But the greatest of these is love

            1 Corinthians 15:12-19           Assurance of resurrection

            1 Corinthians 15:51-58           O, death, where is thy sting?

            2 Corinthians 4:7-14               Perplexed, but not in despair

 

            2 Corinthians 5:1-10               A house not made with hands

            Philippians 2:5-11                   He emptied himself

            Philippians 4:4-9                     Rejoice in the Lord

            1 Thessalonians 4:13-18          The comfort of his coming again

 

            Hebrews 12:1-2                       A cloud of witnesses

            1 Peter 1:3-9                            Born anew to a living hope

            1 John 1:1-7                            Walk in the light

            Revelation 7:9-17                    A great multitude in white robes

            Revelation 21:22-27                The heavenly Jerusalem

            Revelation 22:1-7                    The Lamb of God and the Tree of Life

 

4.   Gospel Readings

 

            Verses                                     Theme

            Matthew 5:1-10                      Blessed are those who mourn

            Matthew 11:25-30                  Easy yoke, light burden

            Matthew 18:1-5,10-14            Become like children

            Matthew 25:31-40                  You gave me food

 

            Mark 10:13-16                        Let the children come to me

            Luke 23:32-43                         Today I will be with you in Paradise

            Luke 24:1-5, 9-14                   The resurrection of Christ

            Luke 24:13-35                         Known in the breaking of the bread

 

            John 1:1-5, 9-14                      The light shines in the darkness

            John 3:16-21                           God so loved the world

            John 5:19-29                           The Son gives life

            John 6:37-40                           The Bread of Life

 

            John 10:7-16                           The Good Shepherd

            John 11:17-27                         I am the Resurrection

            John 14:1-7                             The Way, the Truth, the Life

            John 14:25-27                         Peace I leave with you

 

St. John Lutheran Church

 

SUGGESTED HYMNS FOR FUNERALS.  Generally a funeral will include four hymns and/or solos.  The hymn numbers are from the Evangelical Lutheran Worship hymnal.


A Mighty Fortress Is Our God              #504

 

Abide with Me                                     #629

 

All Hail the Power of Jesus’ Name      #634

 

Battle Hymn of the Republic               #890

 

Be Thou My Vision                             #793

 

Beautiful Savior                                   #838

 

Behold a Host                                      #425

 

Blessed Assurance                               #638

 

Borning Cry (I Was There)                  #732

 

Children of the Heavenly Father                      #781

 

Day by Day                                         #790

 

For All the Saints                                 #422

 

Great Is Thy Faithfulness                     #733

 

Guide Me, Great Redeemer                 #618

 

How Great Thou Art                            #856

 

I Know That My Redeemer Lives        #619

 

In Heaven Above                                #630

 

Jesus Loves Me                                               #595

 

Jesus Savior, Pilot Me                          #755

 

Jesus, the Very Thought of You                      #754

 

Lord, Take My Hand and Lead Me      #767

 

Love, Divine, All Loves Excelling       #631

 

My Faith Looks Up to Thee                 #759

 

My Hope Is Built on Nothing Less       #597

 

O God, Our Help in Ages Past             #632

 

Precious Lord, Take My Hand             #773

 

Rock of Ages, Cleft for Me                 #632

 

Shall We Gather at the River                #423

 

The Lord’s My Shepherd, I’ll Not Want       #778

 

The Strife Is O’er                                 #366

 

Thine Is the Glory                                #376

 

What a Friend We Have in Jesus         #742

 

When Peace, like a River                     #785

 

Who Is This Host Arrayed in White     #425

 

You Who Dwell in the Shelter of

the Lord (On Eagle’s Wings)              #787