FormBOC_12

Year
Church Name or City/State
Election Date

MonthDayYear
Date
Number of member participants in the election
Name of Pastor/Acting Pastor
Date received

MonthDayYear
Date

Leader
Maiden Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Personal Phone
Email
example@example.com

Co-Leader
Maiden Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Personal Phone
Email
example@example.com

Secretary
Maiden Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Personal Phone
Email
example@example.com

Treasurer
Maiden Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Personal Phone
Email
example@example.com

Assistant Treasurer
Maiden Name
Spouse's Name
Mailing Address
City/State
Zip Code
Personal Phone
Email
example@example.com

Board Member/Advisor #1
Position
Maiden Name
Spouse's Name
Mailing Address
City/State
Zip Code
Personal Phone
Email
example@example.com

Board Member/Advisor #2
Position
Maiden Name
Spouse's Name
Mailing Address
City/State
Zip Code
Personal Phone
Email
example@example.com

Please send in original form and keep a copy for your record. All forms submitted online will be automatically submitted for UCLE WMD record.

Mail completed form to:

ATTN: Women's Ministry Dept. UCLE Main Office P.O. Box 15355 Fresno, CA 93702

Important Note: Please submit all updating membership forms along with this report form no later than January 31th.
Should be Empty:

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