Nomination Form

Name: First M. I. Last

Address

City State Zip

Phone: Home Work Cell

Email address

Congregational Membership Name & Town

Conference Membership

Occupation

Gender: Male Female

Age: Under 18 18-30 31-45 46-60 Over 60

What is your primary language: English
Other (please specify)

Race and Ethnic Origin:
Caucasian African-American Native American Hispanic
Asian/Pacific Islander Arab/Middle Eastern
Other (please specify)

1. Areas of special leadership and interest in your congregation? (Past and Present)

2. Areas of special leadership and interest in the community?

3. Why do you wish to serve in this area of ministry in the Synod?

4. What are your priorities for this ministry?

5. Your faith statement?

Area of ministry you are being asked to serve on:
Synod Council

Congregational Life Committee
Subcommittees:
Congregational Resourcing Event (CRE)
Educator's Network
Stewardship
Youth Ministry
Worship

Global Missions Committee

Ministry Support Committee
Subcommittees:
Employee Assistance Program
First Call Theological Education
Mutual Ministry Support
Professional Leadership Conference
Salary Guidelines
Spiritual Formation

Outreach Committee
Subcommittees:
Ecumenism
Evangelism
Natural Church Development
New And Redeveloping Congregations

Social Ministry Committee
Subcommittees:
Anti-Racism/Multicultural Ministries
Rural Task Force
Synod Green Team
World Hunger

Churchwide Assembly Voting Member

Consultation Committee

Discipline Committee

Submit Nomination Form

Clear form to start again