Board of Directors Nominating Committee Biographical Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Board of Directors Nominating Committee welcomes your interest as a candidate to be considered for the Board of Directors. All self-disclosed demographic information on the Biographical Form will be kept confidential by the Board of Directors and used only in relation to the nominee selection process.

Email *

First Name *

Last Name *

Pronouns *

Date of Birth *

YYYY

Home Street Address *

Home City *

Home Zip Code *

Cell Phone Number (111) 222-3333 *

Home Phone Number (111) 222-3333

What is the name of the Local UCC church where your membership is held? *

What year did you join the Local UCC church where you are a member? (YYYY) *

Local Church Street Address *

Local Church City *

Local Church Zip Code *

Association of Local Church where you are a member *

Covenant

Eastern

Detroit Metropolitan

Grand West

Southwest

United Northern

Are you (choose all that apply)

Laity (church member without ministerial designation)

Authorized Clergy

Retired Clergy

Licensed Minister

Lay Ministerial Standing

Member in Discernment

Please describe your Local UCC Church experience and service that relates to this position. *

Please describe your Local Community experience and service that relates to this position. *

What previous experience do you have serving on any other Boards? *

Please describe any UCC Association experience and service you have that relates to this position. *

Please describe any Michigan Conference UCC experience and service you have that relates to this position. *

If you have any experience or service with the National Setting of the UCC please share that here. *

What other spiritual gifts, professional experience, skills, or competencies do you have that you would like the Nominating Committee to know about? *

Please explain how you feel called to serve the Michigan Conference on the Board of Directors. *

Please list any potential conflicts of interest you may have as a Board Member. *

DEMOGRAPHIC DATA - answers optional

The Michigan Conference Board of Directors Nominating Committee is tasked with balancing candidate selection across multiple demographics in alignment with the Michigan Conference by-laws. Please self-disclose your demographic information in your own words so that the Nominating Committee can make informed decisions based on information provided directly from the candidate being considered.

All self-disclosed demographic information will be kept confidential by the Board of Directors and Nominating Committee and used only in relation to the selection process.

Race/Ethnicity

Gender Identity

Sexual Orientation

Additional demographic or relevant information you would like to share that hasn't been asked.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Michigan Conference United Church of Christ.

Does this form look suspicious? Report

Forms