2025 Bishop's Medal Nomination Form
The Bishop's medal is given to people who have shown a passion for ministry and those who have dedicated ministry in service to others! Please complete this form for someone in your convocation, either a lay person or a clergy person who would would like to nominate to receive the Bishop's medal at this year's Diocesan Convention! Due by October 30.
Name of person completing this form
*
First Name
Last Name
Email
*
example@example.com
Nominee Information
Nominee Name
*
First Name
Last Name
Nominee Email
*
example@example.com
Nominee Phone Number
*
Please enter a valid phone number.
Nominee Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the Nominee a Clergy Person or Lay Person?
*
Clergy
Lay
Short Bio of Nominee
*
With what ministry/congregation do they serve and why are you nominating them?
*
Thank you so much for completing the nominating form!
If you have any questions, please contact Jillian Smith at the Diocesan Offices, jsmith@diocesemo.org
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