South Wisconsin District of The Lutheran Church—Missouri Synod > News & events > Events > Convention > Nominations > Nominee consent and biographical information

If the Convention Nominations Committee has informed you that you have been recommended or nominated for a position(s), please complete the questions in Section I below. If you consent to the nomination(s), please also supply the biographical information in Section II and submit a photograph.

We hope that you will give this important work favorable consideration, being willing not only to be placed on the slate for the election, but also to serve if elected. Position descriptions are available online at swd.lcms.org/convention and by request from the District office. To help in the work of slating recommended candidates, please take a few moments to fill out the form below. We have an urgent need to receive your response as soon as possible. Thanks for your prompt attention to this matter. After the nomination committee has slated all of the candidates, they will be in touch with nominees again.

Section I

Title*
First name*	Last name*
Position(s) for which you have been suggested to serve*
Address*
City*	State	Zip*
Telephone*	E-mail address
Region in which I reside (lay person) or work (rostered church worker) Central East Region (Circuits 1-7) Northeast Region (Circuits 8-14) West Region (Circuits 15-21) Southeast Region (Circuits 22-27)

Consent: I am willing to have my name placed on the ballot for the position(s) indicated above. If elected, I am willing to serve in this position* YesNo

(Optional): If multiple positions are listed above, I want to be considered for
...but not for:

Signature (type full name)*

Passphrase: Pick a word or phrase as confirmation of your signature*
If you are willing to serve, please complete the biographical information below. If you did not consent to serve, scroll down to the bottom and click the Submit button. Section II
Occupation (former occupation, if retired)		Present age

College/University/Seminary attended

Degree(s) earned and year

List your past and present service to the Church and the Community (with approximate dates). Include multiple activities in ONE paragraph separated by semicolons; please do not use hard returns.
Congregational experience and activities

District/Circuit experience and activities

Synodical experience and activities

Community experience and activities

In 100 to 200 words, please state your hopes for the South Wisconsin District:

Congregation where you hold membership		Congregation city

Pastor's name

Please submit a photograph for publication. Digital files may be uploaded using the box below. Include your name in the image's file name so we know whose image it is.
Select photo file to upload File Size: 6000KB Maximum

If you are not able to upload your image using this form, please e-mail it to swd@swd.lcms.org. Hard copy photographs (include your name) may be mailed to: Nominations Committee, South Wisconsin District—LCMS, 8100 W. Capitol Dr., Milwaukee, WI 53222. Photos will be returned if a stamped, self-addressed envelope is included.

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