FormBOC

WOMEN'S MINISTRY DEPARTMENT

ELECTED BOARD OF COORDINATORS

REPORT FORM

Please complete all information below:
Elected Board of Coordinators for the Year:*
Year
Church Name or City/State*
Election Date (if applicable)

MonthDayYear
Date
Number of member participants in the election
Name of Pastor/Acting Pastor
Leader: Full Legal Name*
Spouse's Name (if applicable)
Mailing Address*
City/State*
Zip Code*
Contact Phone #*
Please enter a valid phone number.
Email
example@example.com
Co-Leader: Full Legal Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Contact Phone #
Please enter a valid phone number.
Email
example@example.com
Secretary: Full Legal Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Contact Phone #
Please enter a valid phone number.
Email
example@example.com
Treasurer: Full Legal Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Contact Phone #
Please enter a valid phone number.
Email
example@example.com
Assistant Treasurer: Full Legal Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Contact Phone #
Please enter a valid phone number.
Email
example@example.com
Advisor #1: Full Legal Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Contact Phone #
Please enter a valid phone number.
Email
example@example.com
Advisor #2: Full Legal Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Contact Phone #
Please enter a valid phone number.
Email
example@example.com
Other Board Member #1 Position
Full Legal Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Contact Phone #
Please enter a valid phone number.
Email
example@example.com
Other Board Member #2 Position
Full Legal Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Contact Phone #
Please enter a valid phone number.
Email
example@example.com
Other Board Member #3 Position
Full Legal Name
Spouse's Name (if applicable)
Mailing Address
City/State
Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Please send in original form and keep a copy for your record. Mail completed form to:

ATTN: Women's Ministry Dept.

UCLE Main Office

P.O. Box 15355
Important Note: Please submit all updating membership forms along with this report form no later than January 31th. Also, if submitting forms online, the WMD Board of Directors will automatically recieve form upon submission.
Online Form Only

Please state full name of submitting officer, sign and date.
Full Legal Name of Submitting Officer and Position
Signature

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Date

MonthDayYear
Date
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Online Form Only