2014 Metropolitan Washington, D.C. Synod Assembly

NOMINEE RECOMMENDATION FORM*

Recommended for the position of: ___________________________________________________

*Recommended nominee:	 __________________________________________________________
				               (Title, First Name, Middle Initial, Last Name)

Recommended nominee is a member of: ____________________________________________
							(Name of congregation, City, ST)

Contact information for recommended nominee:

	______________________________________________________________________________
	(Home address: Street Number, City, ST, Zip Code)

	_______________________________		_______________________________
	(Home phone number)				(Work phone number)

	_______________________________		_______________________________
	(Cell phone number)				(Email address)

Has the recommended nominee agreed to this nomination: ____   Yes	____ No

Person recommending this nomination:	_____________________________________________
						(Title, First Name, Middle Initial, Last Name)

Person recommending is a member of:	_____________________________________________
						(Name of congregation, City, ST)

Contact information for person recommending this nomination:

	
	______________________________________________________________________________
	(Home address: Street Number, City, ST, Zip Code)

	_______________________________	_______________________________
	(Home phone number)			(Work phone number)

	_______________________________________
	(Email address)

*Submit by April 30, 2014 along with a Candidate Information Form completed by the nominee and photo. Send to the Rev. Albert Triolo, Nominations Committee Chair, at atriolo@stmarks-elca.org.