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Name
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First, Middle Initial, Last
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Subject
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Spouse (if applicable)
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Home Phone
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Email
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Home Address
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street, city, state, zip code
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Member of Covenant Church
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Church Name, city and state
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Age (optional)
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Ethnicity (Optional)
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Conference
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Canada
Central
East Coast
Great Lakes
Midsouth
Midwest
North Pacific
Northwest
Pacific Southwest
ECCAK (Alaska)
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Please choose the board(s) you are interested in
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Executive Board
Nominations
Ordered Ministry
Pensions and Benefits
Women Ministries
Benevolence
North Park University
Annual Meeting Moderator/Vice-Moderator
Annual Meeting Secretary/Vice-Secretary
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I have gifts/interests in the boards I selected because
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Personal statement of faith in Jesus Christ
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Present Occupation
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Job Title
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Years in Job
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Firm & Location
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Responsibilities, leadership roles, specific skills gained at this profession
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Significant Previous Occupation(s)
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Covenant Denominational Boards, Committees, Commissions, Campaigns, etc.
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Denominational Involvement
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Covenant Conference Boards, Commissions, Task Force membership, Consulting Roles
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Conference Involvement
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Ecumenical Leadership Roles
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e.g., city-wide church associations, involvement with other denominations, Youth for Christ, etc.
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Church Council Involvement (Past and Present)
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Chairperson
Vice-Chair
Secretary
Treasurer
Member
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Sunday School Teacher (Past & Present)
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Adult
College
High School
Middle/Jr. High
Elementary
Pre-school
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Other significant local church leadership roles/involvement
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e.g., teaching, board/committee participation, position, etc.
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Educational Background
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School Type
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Graduate Major field and School
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Additional classes, training, seminars, interests, or skills that you would like to be noted
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Community Involvement
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e.g., Trustee of a hospital, foundation, or museum; Rotary; Volunteer – homeless shelters, etc.; Honors/Awards
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Validation
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