Candidate Nomination Form | 60th Convention - Northern Illinois District

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Nomination Form | The 60th Convention

The 60th Convention of the Northern Illinois District of The Lutheran Church-Missouri Synod Friday and Saturday, March 11th and 12th, 2022

Nomination Form for:

CUC Board of Regents
NID Board of Directors
NID Secretary (Ordained Only)
NID Nominations Committee
SYNOD Nominations Committee

This completed form must be received by September 30th, 2021.

Nominee Information
Nominee Name*
Prefix First Middle Last Suffix
Nominee Home Address
Street Address City State ZIP Code
Nominee Phone
Nominee Email*
Nominee's Congregational Membership
Congregation Name*
Congregation Phone
Region
Select Circuit
Congregation Address
Street Address City State ZIP Code
Nomination Information
Nominee is:*
Nominee is Nominated for:*
- CUC Board of Regents
- NID Nominations Committee
- NID Board of Directors
- NID Secretary (Ordained only)
- SYNOD Nominations Committee (Layperson only)
The above named person is placed in nomination by:
Nominating Person or Congregation Name*
Nominating Person or Congregation Address*
Please provide your address if submitting as an individual or the congregation address if nominating as a congregation.
Street Address City State ZIP Code
Nominating Person or Congregation Phone*
Thank You for Your Nomination
The committee will contact all nominees to confirm their willingness to serve, and whether they would be willing to serve in other positions if needed. Whether or not the nominee is placed on the convention ballot will be decided by the committee based upon the candidate’s qualifications (including bylaw requirements) and the number of candidates available for each position. All candidates will be notified of the committee’s decision. If you experience difficulty in submitting this form, please email michelle.lavelle@nidlcms.org or call 708-223-3101.
Phone
This field is for validation purposes and should be left unchanged.

Nomination Form | The 60th Convention

Nominee Information

Nominee's Congregational Membership

Nomination Information

Thank You for Your Nomination