UPBC Trustee Nominee Biographical Worksheet
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
*
First Name
Last Name
Email
*
Home Church
*
Church Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Involvement at UPBC
*
Please describe your current and past involvement at UPBC
Trustee Interest
*
Please describe why you would like to serve as a Trustee at UPBC
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