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NOMINATION FORM
2009 SYNOD WOMEN OF THE ELCA LEADERSHIP POSITIONS
President _____ Treasurer_____ Board Member ______
Check the position for which you are nominating. This form may
be reproduced and you may nominated as many women as your congregational
unit desires. Be sure you have the permission of the nominee.
NAME OF NOMINEE________________________________________________________
ADDRESS________________________________________________________________
_________________________________________________________________________
PHONE ___________________________ DATE_________________________________
CONGREGATIONAL UNIT__________________________________________________
CONFERENCE____________________________________________________________
AGE CATEGORY: 18-35 (___) 36-50 (___) 51-65 (___)
OVER 65 (___)
Does Nominee qualify for either category?
(___) Women of color and/or person whose primary
language is other than English
(___) Women with a disability (hearing or sight impaired,
physically impaired, etc.)
Highlights of present and past activities in Women
of the ELCA, congregations, conference, synod, churchwide, community
and career:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
What gifts/talents can the nominee bring to the Upstate
NY Synodical Board?
_______________________________________________________________________________
_______________________________________________________________________________
Submitted by _________________________________ with
the permission of the nominee.
Congregational Unit Representative
Nominee Signature_________________________________________________________
Return with brief biography by June 1, 2009 to:
Karen Douglass, 105 Ferndale Drive, Syracuse, New
York 13205
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