NC Nominations for Leaders

Kairos of North Carolina

NOMINATION FORM FOR KAIROS WEEKEND LEADERS. To be completed by the Advisory Council - Rev Nov 18, 2018
Select an Advisory Council *
Is this a KI or KO Application*
Nominee's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Worship at*
Church Leadership Position
Involved in an Accountability Group*
KI Leadership Requirements Met Per Manual:
Seated at a Family Table*
Leadership position
Inside or Chapel or Agape Coord or Head Servant
Talk or Meditation #1
Talk or Meditation #2
KO Leadership Requirements Met Per Manual:
InsideTeam
Outside Team
Core Team
Talk or Meditation #1
Talk or Meditation #2
If any requirements are No, will they all be fulfilled by the time he/she isleader?
Reasons your council chose this nominee to be a weekend leader:
YesNo
The nominee has been briefed on the requirements for being a Weekend Leader, including Advanced Kairos Training (AKT), use of Ezra, end of weekend reports, and will comply with those requirements.
Attending or have attended AKT: *
(Before being Observing Leader)
State attending AKT: *
Obs Leader on: *
(or will serve)
Obs. #*
weekend #
When Obs. Leader*
Season
If approved will serve as Leader:*
When Weekend Leader*
Weekend*
weekend #
Advisory Council Chair Signature*
Typing your name here constitutes a signature
AC Signature Date*

MonthDayYear
Date
AC Chair Email*
example@example.com
Enter the message as it's shown*
The following will be filled out by the state advisory council
Action by State AC:
(or will serve)
Action Date

MonthDayYear
Date
State Chair Signature
Typing your name here constitutes a signature
State Sig. Date

MonthDayYear
Date
Financial Email*
statefs2@gmail.com
Secretary Email*
Should be Empty:

Kairos of North Carolina