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2021 North Central Region Leadership Team Nominations
Use this form to nominate a person (or yourself) to be included in the ballot for the North Central Region of The Brethren Church's Regional Leadership Team.
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Email
*
Your email
Before You Begin
Before you begin, please ensure you've read the Brethren Church Manual of Procedure section on Regions (
http://brethrenchurch.org/regions-mop
), as well as The Brethren Church Mission, Vision and Core Values Document (
https://www.brethrenchurch.org/mvv
)
Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Preferred Phone Number
*
Your answer
Is This Phone Number A:
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Mobile/Cell
Home Phone
Business Phone
Other:
Name of Brethren Church Where You Are a Member:
*
Your answer
Are You Nominating Yourself, or Another Person?
*
I'm nominating myself
I'm nominating another person
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