Senior Adult(s) of the Year Nomination Form
Please complete the nomination form for Senior Adult, Senior Adult Couple, and/or Senior Adult Couple of the Year.
This nomination is for which category...
*
Please Select
Senior Adult of the Year (Individual)
Senior Adult Couple of the Year
Senior Adult Ministerial (One or Both Credentialed) Couple of the Year
Nominee Full Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Spouse's Name (if applicable)
First Name
Last Name
Marriage Date (if applicable)
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pastor's Name
*
Pastor's Email Address
example@example.com
Today's Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Church Name
*
How long have you know this person/couple?
How long have they been attending this church?
When was he/she saved?
How many children?
How many grandchildren?
How many great-grandchildren?
Employment History
Ministerial History (if applicable)
Hobbies/Talents
List areas of past and present church involvement and leadership positions.
List areas of past and present community service, volunteer work, membership,etc.
Pastor's Remarks
Submit Form
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