Candidate Information Form

Candidate Information Form
Candidate's Name:
Title:
Formal First Name:*
Preferred First Name:*
Middle Initial:
Last Name:*
The following information should be completed by the individual named above who is desiring, or willing to allow, his/her name to be submitted to the TBC Committee on Boards or TBC Committee on Committees, as a potential candidate for serving on one of the TBC Committees, TBMB Board of Directors, or TBC fostered institution Board of Trustees. To facilitate a smooth process please complete all of the questions.
Candidate's Reference:
Each candidate must have a reference from an individual who knows the candidate well and also understands to some extent the nature of the TBC and the value of the Committee and Trustee system used by the Convention. The person serving as reference will be automatically contacted through the system if they have not already completed a reference form for the candidate in question.
A reference on me has already been submitted. Resulting in my completing this information sheet. *
Reference Full Name:*

First NameLast Name
Reference Position: *
Reference Email:*
example@example.com
Confirm Reference Email:*
example@example.com
Candidate's Preferred Personal & Connection Information:
Date of Birth:*

MonthDayYear
Date
Sex:*

MaleFemale
Day Phone:*
Please enter a valid phone number.
Evening Phone:*
Please enter a valid phone number.
Cell Phone:*
Please enter a valid phone number.
Spouse Cell:*
Please enter a valid phone number.
Ministerial Ordination:*
Date of Ministerial Ordination:*

MonthDayYear
Date
Ministerial License:*
Date of Ministerial License:*

MonthDayYear
Date
Retired?:*
Date of Retirement:*

MonthDayYear
Date
Preferred email address:*
example@example.com
This is my:*

Work emailPersonal emailOther email
Spouse First Name:*
Spouse Email:*
example@example.com
This is my Spouse:*

Work emailPersonal emailOther email
Preferred Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
This is my:*

Work addressHome addressOther address
I am:*
Church Position Title:*
Church Membership:*
Church City:*
Association:*
Candidate's Preferred Board or Committee Service:
The Candidate should either mark that he/she is willing to serve on any Committee or Board, or rank the first three Boards and/or Committees where he/she would like to serve:
TBC Committees:

(Mark top 3 choices with 1 being the highest)
I am willing to serve on ANY of the Committees listed.Committee on ArrangementsCommittee on Constitution and BylawsCommittee on ResolutionsCommittee on AuditsHistorical CommitteesCommittee on CommitteesCommittee on BoardsCommittee on Credentials
Number 1 top choice:*
Number 2 top choice:*
Number 3 top choice:*
TBC Entity Boards:

(Mark top 3 choices with 1 being the highest)
I am willing to serve on ANY of the Boards listed.Baptist Memorial Health Care SystemCarson-Newman UniversityHarrison-Chillhowee Baptist Academy (DBA The King's Academy)TN Baptist Adult HomesTN Baptist Children's HomesTN Baptist FoundationTBMB Board of DirectorsUnion University
Number 1 top choice:*
Number 2 top choice:*
Number 3 top choice:*
Candidate's background, skill set, and desire to serve:
1. What is your occupation (or former occupation if retired)? Please be specific!*
2. What gifts, abilities, or experience do you possess that qualify you for consideration to serve on a TBC Board or Committee?*
3. What is your present involvement in your local church?*
4. Why are you willing or desiring to serve on a TBC Board or Committee?*
5. What is your personal commitment to the Cooperative Program that supports all of the work of the Tennessee Baptist and the Southern Baptist Conventions?*
6. Have you read the basic description of what each committee/board does and are you willing to commit the time and energy required to serve either on a Committee or a Board?*
7. Are you willing to enter into a covenant of service where you commit to conduct your service in accordance with and not contrary to the Baptist Faith and Message 2000? (See more on BFM2K at https://bfm.sbc.net/)
Explain your answer to #7 if other than "yes":*
Candidate's Signature*

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Date*

MonthDayYear
Date
Should be Empty:

Candidate Information Form

TBC Committees:

TBC Entity Boards: