Board of Directors Nomination Response Form

BOD 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.

Board of Directors - North & East Region - Commissioned Minister

Do you accept this nomination?(Required)

Yes

Contact Information

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone/Home Phone(Required)

Additional Information

Home Congregation / City(Required)

Home Congregation City

Circuit(Required)

Region(Required)

Age

Occupation(Required)

Education: High School

Please enter the name and city of the High School you graduated from.

Education: College

If multiple, please add information for each school. (click on the + sign to add entries)

Name of College/University

Degree/Certification

Education: Professional School

If multiple, please add information for each school. (click on the + sign to add entries)

Name of Professional School

Degree/Certification

Additional 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.

Max. file size: 128 MB.

CAPTCHA