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Candidate Recommendation Form CUC Board of Regents | 61st Convention
61st Convention | Recommendation to Slate for CUC Board of Regents
I recommend the following individual for the office of Regent, CUC Board of Regents
Recommended's Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Rev. Dr.
Deac.
Prefix
First
Last
Recommended's Email Address
(Required)
Role
(Required)
The recommended person has a role of:
Ordained Minister
Commissioned Minister
Layperson
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Recommended Individual's Congregation Info
Please list the congregation or other entity they serve, or, if retired or not currently serving, please list the congregation where they hold membership.
Congregation
(Required)
Congregation Address
(Required)
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Recommendation from:
(Required)
Congregation
Rostered Worker
Congregational Member
Qualifications and Skills
(Required)
I believe the individual recommended possesses the following qualifications and skills: (Please check all that apply.)
Theological acumen
Advanced academic degree
Experience in higher education administration
Administration of complex organizations
Finance
Law
Investments
Technology
Human resources
Facilities management
Fund development
Submitter's Information
Submitter's Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Title
First
Last
Submitter's Email Address
(Required)
Submitter's Congregation
(Required)
Professional church worker-where you work; Layperson-where you hold membership.
Submitter's Congregation Address
(Required)
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Name
This field is for validation purposes and should be left unchanged.
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