Committee Profile

Please fill out all areas of the Nominations Facilitation Committee Profile Form

Name*
First Last
Email*
Address
Street Address City State ZIP Code
District*
Local Church*
Home Phone
Office Phone
Cell Phone
Status
Ethnic
Age
Gender
Are there any accessibility supports needed in order to ensure your full participation in meetings (i.e. wheelchair accessibility, interpreters, alternative formats of materials or presentations)?
- Yes
- No
If so, please explain
1. I want to serve on the Conference Level in the area of
If Life Span Ministries was selected please select a specific council:
2. I feel called to serve in this area of ministry on the conference level because
3. I am currently living out my passion for mission and ministry by
4. Information about my education/work/history
5. Areas of expertise/experience
6. Past Leadership of Offices held
Local Church
District
Conference
General Church
Campus or Community Service
7. I am presently serving on the conference level on

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