RECOMMENDATION FOR LAY COUNCIL AWARD
Nomination Information Form
Connectional Lay Council African Methodist Episcopal Zion Church
12th Quadrennial Convention Dr. Victor J. Tulane Servant-Leadership Award
|Eligibility for Nomination: All nominees for the Dr. Victor J. Tulane Servant-Leadership Award must have been an active member of the Connectional Lay Council for a|
|minimum of (4) four consecutive years prior to the convention and must provide evidence of significant accomplishments as a leader. Each must submit letters of |
|recommendation from each of the following: Local Pastor, Presiding Elder, and Bishop of the area. Additional recommendations may be submitted from an elected local |
|community official, class leader, district or conference Lay Council President. |
|Card carrying member of the Lay Council and attend meetings and/or functions at|Member of the Connectional Lay Council for a minimum of (4) four consecutive years? |
|one or more levels on a consistent basis. (__ Yes or __ No) |(__Yes or __ No) |
(Please type or print)
|(Check one) |Last Name |First Name |Middle Initial |__Sr., |
|__Mr. __Mrs. __Ms. __Dr. | | | |__Jr. |
|Street Address |Apt. # |City |State |Zip Code |
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|Email address |Home Telephone # |Cellular # |Fax # |
|Local Church Name: |Pastor’ Name: |
|Street Address |City |State |Zip Code |Telephone # |
|1) Briefly describe nominee’s involvement as a lay leader in two out of the four categories noted below. 2) Briefly describe significant accomplishments that embrace|
|mentoring, qualities of a servant- leader and General Conference legislation that improved the governance and privileges of lay members in The African Methodist |
|Episcopal Zion Church. In addition, a double-sided one-page vitae may be attached to this nomination form. |
|1. List Servant-leadership positions in The African Methodist Episcopal Zion Church: (Include tenure) |
|2. List Servant-leadership positions in Civic Organizations: (Include tenure) |
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|3., Briefly describe the nominee’s valiant tenure in the U.S. Military Service: |
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|4. Briefly describe nominee’s role and contributions as a vital administrator, member of the faculty or Staff in a college or university: (Include Tenure) |
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| Note significant accomplishments that embraced mentoring; exhibited qualities of a servant- leader (servant first….leader second) and General Conference legislation|
|that improved the governance and privileges of lay members in The African Methodist Episcopal Zion Church. |
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(Print) Submitted by: ____________________________________________________________
Telephone # ___________________________ Email __________________________________
It is the responsibility of the nominator to submit the Nomination Form to the CLC Office on or before the scheduled submission date of June 15th. MAILING ADDRESS: PO Box 26770 Charlotte, NC 28221-6770. Forms not submitted on time may be disqualified.
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