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.
Email address *
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 *
Address *
City *
State *
Zip *
Preferred Phone Number *
Is This Phone Number A: *
Name of Brethren Church Where You Are a Member: *
Are You Nominating Yourself, or Another Person? *
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