Diocese of Newark 
127th Annual Convention
Nomination Form

Due Date: November 30, 2000

(Please use a separate form for EACH OFFICE! You may print out and duplicate this form or call 973-622-4306 to obtain additional forms. Please type or block print in black ink)

[ ] I would like to be considered for:

______________________________________________

[ ] I, __________________________________________,

would like to nominate the person named below for:

_______________________________________________

and permission has been given to place his/her name in nomination. (please have the person you have nominated fill out the balance of this form and submit it.)

The VOICE Convention Supplement (January/February 2001) will include a photograph and a statement from each candidate for each office. State in 20 words max  why you wish to be elected. Provide a separate statement for each nomination. (Longer statements will be limited to the first 20 words.)

 

Name:_________________________________________
(Titles will not be used in the Voice or pre-convention materials.)

Phone: (W)_____________________(H)_____________

Email:_________________________________________

Address: _______________________________________

_______________________________________________

Church affiliation (name/town): ____________________________



Experience (list no more than the three most significant accomplishments in each category):

Church:
 

Diocese:
 

Other:

Check one:

[ ] I enclose with this nomination form a photo to be used in The VOICE Convention Supplement. I understand that the photo must be a full view, head only shot, a minimum of 1 and 1/2 inches high. (Black and white glossy is best; good quality color can be used. Plain, light background produces best photo.)

[ ] I have checked with The VOICE office (973-430-9914) and have been advised that there is a usable photo of me on file. (If you file photo is more than 3 years old, it is considered UNusable!)

I understand that each nomination requireds a separate form and VOICE statement ( one photo is sufficient). NOTE: Nomination forms will be returned if all VOICE materials are not provided.

Signed:

_______________________________________
 

Mail to:

Diocese of Newark
Attn: Secretary of Convention
31 Mulberry Street
Newark, NJ 07102

Go to Convention home page

Go to Diocesan home page


Click here to access the form to use if late (postmarked after Dec. 3, 2000)