NCO District Assembly Certificate of Election

Only elected delegates or alternates listed on this form will be permitted to vote. For a list of eligible ministers from each church, please email ncodistrict@mvnu.edu.

Question Title

* 1. Church Name

Question Title

* 2. Ex-Officio Delegates
(Members of the district assembly by virtue of office for the new assembly year. According to Manual 201, department heads (or their Vice) elected to serve in the new church year represent your church at the District Assembly, not the officers during the past year.)

NMI President

NYI President

SDMI Superintendent

Question Title

* 3. Ex-Officio Alternate Delegates
(Members of the district assembly by virtue of office for the new assembly year. According to Manual 201, department heads (or their Vice) elected to serve in the new church year represent your church at the District Assembly, not the officers during the past year.)

NMI Vice President

NYI Vice President

SDMI Vice Superintendent

Question Title

* 4. Local Church Membership (as reported on the APR)

Church Membership	526-575 = 11 delegates
0-75 = 1 delegate	576-625 = 12 delegates
76-125 = 2 delegates	626-675 = 13 delegates
126-175 = 3 delegates	676-725 = 14 delegates
176-225 = 4 delegates	726-775 = 15 delegates
226-275 = 5 delegates	776-825 = 16 delegates
276-325 = 6 delegates	826-875 = 17 delegates
326-375 = 7 delegates	876-925 = 18 delegates
376-425 = 8 delegates	926-975 = 17 delegates
426-475 = 9 delegates	976-1025 = 19 delegates
476-525 = 10 delegates	1026-1076 = 20 delegates

Question Title

* 5. Lay Delegates
(please include first and last name; ministers should not be listed as lay delegates)
The following lay delegates have been duly elected to represent our church at the District Assembly according to Manual 201.2:

Lay Delegate #1

Lay Delegate #2

Lay Delegate #3

Lay Delegate #4

Lay Delegate #5

Lay Delegate #6

Lay Delegate #7

Lay Delegate #8

Lay Delegate #9

Lay Delegate #10

Lay Delegate #11

Lay Delegate #12

Lay Delegate #13

Lay Delegate #14

Lay Delegate #15

Lay Delegate #16

Lay Delegate #17

Lay Delegate #18

Lay Delegate #19

Lay Delegate #20

Question Title

* 6. Lay ALTERNATE Delegates
(please include first and last name; ministers should not be listed as lay delegates)
The following lay alternate delegates have been duly elected to represent our church at the District Assembly according to Manual 201.2:

Lay Alternate Delegate #1

Lay Alternate Delegate #2

Lay Alternate Delegate #3

Lay Alternate Delegate #4

Lay Alternate Delegate #5

Lay Alternate Delegate #6

Lay Alternate Delegate #7

Lay Alternate Delegate #8

Lay Alternate Delegate #9

Lay Alternate Delegate #10

Lay Alternate Delegate #11

Lay Alternate Delegate #12

Lay Alternate Delegate #13

Lay Alternate Delegate #14

Lay Alternate Delegate #15

Lay Alternate Delegate #16

Lay Alternate Delegate #17

Lay Alternate Delegate #18

Lay Alternate Delegate #19

Lay Alternate Delegate #20

Question Title

* 7. Typed Signature of Pastor
I understand my typed name constitutes a digital signature confirming that I acknowledge and agree to the the validity of information provided.

Question Title

* 8. Typed Signature of Church Board Secretary
I understand my typed name constitutes a digital signature confirming that I acknowledge and agree to the the validity of information provided.

NCO District Assembly Certificate of Election

Question Title

* 1. Church Name

Question Title

* 2. Ex-Officio Delegates(Members of the district assembly by virtue of office for the new assembly year. According to Manual 201, department heads (or their Vice) elected to serve in the new church year represent your church at the District Assembly, not the officers during the past year.)

Question Title

Question Title

* 4. Local Church Membership (as reported on the APR)

Question Title

* 5. Lay Delegates (please include first and last name; ministers should not be listed as lay delegates)The following lay delegates have been duly elected to represent our church at the District Assembly according to Manual 201.2:

Question Title

* 6. Lay ALTERNATE Delegates (please include first and last name; ministers should not be listed as lay delegates)The following lay alternate delegates have been duly elected to represent our church at the District Assembly according to Manual 201.2:

Question Title

* 7. Typed Signature of PastorI understand my typed name constitutes a digital signature confirming that I acknowledge and agree to the the validity of information provided.

Question Title

* 8. Typed Signature of Church Board SecretaryI understand my typed name constitutes a digital signature confirming that I acknowledge and agree to the the validity of information provided.

* 2. Ex-Officio Delegates
(Members of the district assembly by virtue of office for the new assembly year. According to Manual 201, department heads (or their Vice) elected to serve in the new church year represent your church at the District Assembly, not the officers during the past year.)

* 5. Lay Delegates
(please include first and last name; ministers should not be listed as lay delegates)
The following lay delegates have been duly elected to represent our church at the District Assembly according to Manual 201.2:

* 6. Lay ALTERNATE Delegates
(please include first and last name; ministers should not be listed as lay delegates)
The following lay alternate delegates have been duly elected to represent our church at the District Assembly according to Manual 201.2:

* 7. Typed Signature of Pastor
I understand my typed name constitutes a digital signature confirming that I acknowledge and agree to the the validity of information provided.

* 8. Typed Signature of Church Board Secretary
I understand my typed name constitutes a digital signature confirming that I acknowledge and agree to the the validity of information provided.