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Provincial Board Candidate Information - 2022 Synod

1. Deadline for Submission is December 20, 2021

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* 1. Please provide your personal information.

Name:

Congregation:

Address:

City/Town:

State:

ZIP/Postal Code:

Occupation (if retired, give former):

Email Address:

Phone Number:

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* 2. To which board do you seek nomination? (If interested in more than one, please complete a separate candidate information form for each.)

Board of Trustees, Salemtowne

Board of Directors, Moravian Mission Society

Board of Trustees, Moravian Theological Seminary

Board of World Mission

Provincial Women's Board

Delegate, 2023 Unity Synod in Africa

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* 3. Why do you wish to be nominated to this board?

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* 4. What special abilities/experiences/interests do you offer?

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* 5. Please list all present and past activities in your local Moravian Congregation as well as the larger Moravian Church (Provincial, Interprovincial, Unity) and include dates of service (for example: Chair, Board of Trustees, Calvary Moravian, 2012-2014).

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* 6. Please list other relevant past or present community service or work experience, including dates of service.

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* 7. Affirmation of Candidacy:
I understand the duties of and qualifications for membership on the board to which I may be nominated. If nominated and elected, I will serve to the best of my abilities and will be faithful in attending meetings.
Do you agree to the above-mentioned affirmation of candidacy?

No, I do not agree

Yes, I agree (type your name and the date below):

When finished, click "Done" to submit your completed form, NO LATER THAN December 20, 2021.

Photo Request
We ask that you provide a recent full color photo of yourself in a separate JPEG attachment. Your photo should be a current, high-quality headshot, suitable for publication. It should be at least 300 dpi in resolution. Please email your photo to bjohnson@mcsp.org OR mail your photo to: Nominations Committee, Moravian Church, 459 S. Church Street, Winston-Salem, NC 27101.

Questions?

Contact Committee Co-Chairs: Donna Hurt (336-479-4173 or donnahurt348@gmail.com) or Jeff Jones (336-816-1073 or Moravian_dude@yahoo.com).

Thank you!
-Nominations Committee, Synod of 2022