2025 Convention Nomination Response Form Email Address(Required) Enter Email Confirm Email Name(Required) First Middle Initial Last You have been nominated for:(Required)Please select all nominations for which you are accepting. Or all nominations for which you are declining. If you have multiple nominations please complete this form once for those you are accepting and once for those you are declining. President Vice President - Metro East Region Vice President - Metro West Region Vice President - North & East Region Vice President - West Region District Secretary Board of Directors - Metro East Region Board of Directors - West Region Church Extension Fund - Board of Trustees District Nominating Committee - Metro East Region District Nominating Committee - Metro West Region District Nominating Committee - North & East Region District Nominating Committee - West Region LCMS Committee for Convention Nominations You are a:(Required) Minister Ordained Minister Commissioned (currently active on the roster) Layperson Do you accept this nomination?(Required) Yes No Contact InformationAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Cell Phone/Home Phone(Required)Work PhoneAdditional InformationHome Congregation / City(Required) Home Congregation City Circuit(Required)Select One01 Mackinaw Straits02 Alpena03 Timberline04 Gladwin05 Midland06 Bay City07 Thumb East08 Thumb West09 Frankenmuth10 Saginaw11 Flint North12 Flint South13 Lapeer14 Port Huron15 Macomb North16 Macomb Northwest17 Oakland North18 Birmingham19 Macomb South20 Detroit East21 Dearborn/Detroit23 Down River24 Monroe26 Kensington27 Livonia28 Milan29 Ann Arbor30 Jackson31 Petoskey32 Traverse City33 Manistee34 Big Rapids35 Capitol36 Saint Johns38 Muskegon39 Holland40 Grand Rapids Northeast41 Grand Rapids Southwest42 Battle Creek43 Saint Joseph44 South CentralRegion(Required)Select oneMetro EastMetro WestNorth & EastWestAge(Required)Occupation(Required)Education: High SchoolPlease enter the name and city of the High School you graduated from.Education: CollegeIf multiple, please add information for each school. (click on the + sign to add entries)Name of College/UniversityDegree/Certification Add RemoveEducation: Professional SchoolIf multiple, please add information for each school. (click on the + sign to add entries)Name of Professional SchoolDegree/Certification Add RemoveAdditional Training & Specialization(Required)Enter N/A if not applicable.If presently serving in an elected District position, indicate which:(Required)Enter N/A if not applicable.Positions held in Circuit:(Required)Example: Lay Delegate to Synod Convention; Lay Delegate to District Convention; etc. Enter N/A if not applicable.Positions held in District/Synod(Required)Enter N/A if not applicable.Positions held in Church related organizations:(Required)Enter N/A if not applicable.Political, Civic, Community(Required)Enter N/A if not applicable.Other pertinent information:(Required)Enter N/A if not applicable.Please upload a "headshot" photo of yourself.Preferred file type is jpg, gif, png. Will also accept Adobe pdf or Microsoft Word. If you do not have one on your computer that you can attach please email to laurie.brown@michigandistrict.org or mail one in to the District Office, Attn: Laurie Brown, 3773 Geddes Road, Ann Arbor MI 48105 no later than May 1, 2025.Max. file size: 50 MB.CAPTCHA Δ