District Representative Interest Form

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District Representative Interest Form - Youth

Student - must be between the ages of 12-18, a member of a United Methodist Church, and interested in serving as a delegate to AC.

Student First & Last Name *

Student Email Address (may be parent email) *

Nominator First & Last Name *

Nominator Email *

If nominator is different than the nominee, have you spoken to the nominee, and are they willing to serve as district representative at Annual Conference? Is their guardian aware and okay with it? *

Yes

I'm nominating myself, and my guardian is cool with it

I do not want to serve as an equalization member, but I want to attend AC and participate in youth activities

Student's Church Name, City, State *

Student's District *

Submit

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