UCCDM Nominations Submission Form
If you are interested in joining the UCCDM Board of Directors, please fill out the following form that will be forwarded to our Nominations Committee. Deadline for nominations is July 1, 2018. Selected candidates will be contacted for follow up.
What is your name? *
Your answer
What is your phone number? *
Your answer
What is your email address? *
Your answer
UCCDM requires board members have stable and regular access to internet and email in which to respond periodically to emails and participate in monthly board meetings. Do you have regular access to internet and email? *
What describes you best? *
Church Membership (Name and Location) *
Your answer
UCC Conference and Association you belong to *
Your answer
What calls you to disability ministry? *
Your answer
Why do you want to serve on the UCCDM Board of Directors? *
Your answer
What would you hope to accomplish by serving as a UCCDM Board member? *
Your answer
Please tell us about your work in the local church and beyond. List any committees or boards or other church related activities you are involved with. *
Your answer
Please check any special skills or professional experience you have that might be beneficial in supporting the work of UCCDM.
Please identify two references to support your nomination. One reference being a personal one and the other being professional. Provide their full name, phone or email address and how you identify with them (pastor, coworker, counselor, etc.) *
Your answer
Is there anything else you feel the Nominating Committee should consider at this time? Please tell us how have you been involved with disabilities ministries in your current settings, if you have not explained that elsewhere.
Your answer
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