GC45 Commissioners Nominations Form Nomination Form - GC45 Commissioner "*" indicates required fields Ministry Information of Person Being NominatedNominee's Name* First Last Nominee's Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Nominee's Email* Nominee's Phone Number*Personal Information of Person Being NominatedThe nominee is:*'Ministry personnel' is a general term that refers to members of the order of ministry, designated lay ministers, candidates serving under appointment, diaconal supply, and ordained supply a lay person ministry personnel Community of Faith*Please include the name and location of the nominee's community of faith (i.e. Hope UC - Albertaville)Email for Community of Faith Equity and Diversity Identities of Person being NominatedThis is part of the United Church’s commitment to equity and self-determination as well as to eliminating barriers and working toward the full participation of all.Pronouns*What are the nominee's pronouns? she/her/hers he/him/his they/them/their Other IdentityYou are welcome to note if any of the following identities apply: Disabled/Person with a disability Youth or Young Adult (aged 30 or under) Two Spirit or LGBTQUIA+ Indigenous Person Racialized Person/Person of Colour/BIPOC Francophone Active Participant in French Ministries A Person whose Primary Language is not English or French Gifts and ExperienceHas Nominee been a General Council Commissioner before?* Yes No If yes, when?If the nominee is not elected as a Commissioner, are they prepared to let their name stand as an alternate should another Commissioner need to withdraw?*If you select yes, please reserve the following dates: June 14, 2025; June 22, 2025, August 7-12, 2025 Yes No Nomination*How is this Nomination Application being submitted? I am self nominating I am nominating someone else Nominator's Name* First Last Nominator's Email* Nominator's Phone*Confirmed with Nominee?*If you are nominating someone else, have you confirmed with THEM that you are doing this? Yes No Nominee Presentation SubmissionTell us about yourself! Nominations must be accompanied by a written submission of up to 200 words by nominee. Please include a picture and short biography as well. Possible topics for nominee presentation include: • A statement about why you feel called to serve in this way • The gifts and experiences you have that would that fit this role well • A summary of your current & recent involvement in the United Church Written Submission*Please enter your written submission here. The text box is limited to 200 words.PhotoPlease upload a recent picture of yourself.Max. file size: 64 MB.Biography*Please enter a short biography.