PERSONAL INFORMATION SHEET FOR GA-PAUMCS SECRETARY OF THE YEAR
Georgia Professional Administrators of the
United Methodist Connectional Structure
From August 1, 2016 - August 1, 2017

PLEASE NOTE: You MUST be present at the GA-PAUMCS Business Meeting to be eligible to win.

NAME *
Your answer
Place of Employment *
Your answer
Title *
Your answer
Number of years in current Position
Your answer
District
Your answer
Answer all of the following that apply:
Please read instructions carefully
Activities at National Level:
Member of National PAUMCS
0 = No; 1 = Yes
Your answer
National Officer
0 = No; 1 = Yes (i.e., President, Vice President, Secretary, Treasurer)
Your answer
National Committee Chair
0 = No; 1 = Yes
Your answer
National Committee Member
0 = No; 1 = Yes
Your answer
Attended most recent National Conference
0 = No; 1 = Yes
Your answer
Attended Most Recent National Business Meeting
0=No; 1 = Yes
Your answer
Activites at State Level
Member of GA PAUMCS
0 = No; 1 = Yes
Your answer
Chapter Officer
0 = No; 1 = Yes (i.e., President, Vice President, Secretary, Treasurer)
Your answer
Chapter Committee Chair
0 = No; 1 = Yes
Your answer
Chapter Committee Member
0 = No; 1 = Yes
Your answer
Attended Executive Committee Meeting(s)
0 = No; 1 = Yes
Your answer
How Many
Please answer with actual number attended
Your answer
Attended State Chapter Annual Conference
0 = No; 1 = Yes (Attended Conference during above referenced period)
Your answer
Attended State Chapter Annual Business Meeting
0 = No; 1 = Yes (Attended meeting during above referenced period)
Your answer
Did you volunteer at the PAUMCS display at North
0 = No; 1 = Yes (Attended meeting during above referenced period)
Your answer
Activites at District/Area Level
Attended during above referenced time
Participated in District/Area events
0 = No; 1 = Yes (Meetings, socials, gatherings, etc., related to PAUMCS)
Your answer
How Many? (actual number)
Your answer
Attended district/area training events
0 = No; 1 = Yes (Training related to PAUMCS)
Your answer
How Many? (actual number)
Your answer
Education
Attended PAUMCS Certification School
0 = No; 1 = Yes (During Above Referenced Time)
Your answer
Attended PAUMCS Certification School in Previous Year(s)
0 = No; 1 = Yes
Your answer
Maintained PAUMCS Certification
0=No; 1 = Yes
Your answer
Attended Church Related Workshops
Please List
Your answer
How Many Church Related Workshops (actual number)
Your answer
Attended Leadership Training Workshops
Please List
Your answer
How Many Leadership Training Workshops (actual number)
Your answer
Other Continuing Education or Work-Related Classes
Please List
Your answer
How many "Other" Continuing Education or Work-Related Classes (acutal number)
Your answer
Other Contributions
Public Speaking on behalf of PAUMCS
Please specify
Your answer
How many times did you speak publicly on behalf of PAUMCS
Your answer
Civic Organizations you are a Member of
Please list organzation and position you hold
Your answer
Number of Civic Organizations you are a Member of
Your answer
Number of Civic Organizations you are in Leadership
Your answer
Other Contributions/Comments:
Your answer
Please state in your own words what you like most about working in the church/agency office:
Your answer
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