UCC Coalition :: Board Nominations

Contact Information

Name

Address

City, State, Zip

Phone (daytime)

Phone (evening)

Comments on reaching you

Qualifications and Interest

I am willing to serve on the UCC Coalition Board of Directors as…*

Chair/Moderator

Vice-Chair/Vice-Moderator

Secretary

Treasurer

Member-at-large

Why are you interested in serving on a national board or team as part of the UCC Coalition for LGBT Concerns? What skills and abilities do you have to offer?

Interest and Motivations

Please share your current or previous occupation or activities in which you have been engaged. Highlight your responsibilities, skills and accomplishments.

Experience and Qualifications

Please provide your most recent and most important experience and qualifications in the following contexts:

UCC Coalition:

Local Church:

Conference and Association:

Ecumenical:

National UCC:

Community:

Submit

I certify that the information on this form is accurate. I am aware that I am under consideration by the Nominating Committee of the United Church of Christ Coalition for Lesbian, Gay, Bisexual and Transgender Concerns. If selected to serve the Coalition or in the national setting of the United Church of Christ, I expect to be able to fulfill the responsibilities as expected and will notify the Coalition (800-653-0799) if conditions should occur which would make me unable to serve.

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Board Nominations

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