135th Convention Nomination Form (Complete the form below and submit by Sunday, November 30, 2008)   Name Street Address City State Zipcode Phone numbers Day Evening Email address Church affiliation (name/town)   I would like to be considered for the following office: Each nominee is requested to submit a statement to be published in the Voice Convention Supplement, on the diocesan website and in Convention materials explaining what gifts, skills and experiences you would bring to the position and why you seek the office. (The statement should be limited to 60 words.) Statement Canon 2(6.) Compliance: I have completed anti-racism training as approved by the Mission to Dismantle Racism; or I am scheduled for training on Check one regarding photograph: I have emailed a JPEG file with a photo (full view, head only, min. of 1.5" high; glossy is best) to      theeditor@dicoeseofnewark.org. I have mailed a photo to Diocese of Newark, attn: Secretary of Convention, 31 Mulberry Street, Newark NJ 07102   Click "submit" once to send   The due date is Friday, November 30. If you have any questions, please call Michael Francaviglia, Secretary of Convention, at 973-430-9919 or email mfrancaviglia@dioceseofnewark.org