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Profile Sheet

Home » Executive Office » Nominating Committee » Profile Sheet

Name*
First Last
Date of Birth*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Work Phone
Mobile Phone
Email*
I am a:*
- Layperson (Non-ordained or retired ministry staff is considered laity.)
- Minister (Active ordained ministers or other ministry staff.)
Please write a brief personal salvation testimony.*
Church Membership (Name of Church)*
Church City and State*
Church’s Cooperative Program Contributions Last Year (Amount):*
Church’s Cooperative Program Contributions Last Year (Percentage):*
Do you personally support and/or financially contribute to your local church and consequently the work of the Missouri Baptist Convention and Southern Baptist Convention through the Cooperative Program?*
- Yes
- No
List positions served in the local church, association, or MBC/SBC boards, committees, commissions, institutions served and offices held.*
Occupation*
Employed by:*
Give a brief statement of unique business/professional experience that might be beneficial to the entity or commission you would serve.*
Have you read, do you agree with, and affirm the Baptist Faith and Message (current edition) while serving as a Trustee for the MBC?*
(For a copy of the Baptist Faith and Message click here.)
- Yes
- No
References
Please give two references familiar with your local church involvement and your lifestyle -- one that demonstrates a decorum of holiness consistent with New Testament character, including the abstention from recreational use of controlled substances (including alcohol and marijuana).
Name, Address and Phone Number for Reference #1*
First Last
*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference #1 Phone*
Reference #1 Email
Name, Address and Phone Number of Reference #2*
First Last
*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference #2 Phone*
Reference #2 Email
I pledge to complete the MBC new trustee orientation, as well as the orientation of the entity or commission where I may be nominated to serve.*
- Yes
- No
Once elected to your position, would you, if requested, agree to a background check by the Missouri Baptist Convention or the Entity you are nominated to serve?*
- Yes
- No
Subject to election by the MBC at the Annual Meeting, I would like to serve on (choose all that apply):*
- MBC Executive Board
- Missouri Baptist Children's Home
- Hannibal-LaGrange University
- Missouri Baptist University
- Southwest Baptist University
- Missouri Baptist Foundation
- Missouri Baptist Historical Commission
- Christian Life Commission
- The Baptist Home
- Credentials Committee
- Committee on Order of Business

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