Fairmilehead Parish Church is a congregation of the Church of Scotland, which is Presbyterian and is part of the Christian Church World wide. The responsibility for spiritual leadership is with the Minister and elders, men and women recognised as having spiritual leadership gifts.  The Minister is also an elder and is recognised as having gifts of preaching and teaching.

The elders and the Minister are members of the Kirk Session, which is chaired by the Minister. The Kirk Session has responsibility for the spiritual well-being of the members of the Church.
 
The Session appoints a number of Committees to look after the spiritual guidance, administrative and welfare aspects of the Church. The committees are:

Adult Education, Youth Education, Ecumenical and Outreach, Pastoral, Personnel, Publicity and Communications, Community Justice and Peace, Worship, Business, Finance, Property.