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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