NOMINATION FOR 2012 JOURNAL DEDICATION

The Journal Committee is planning to dedicate the Conference Journal to two persons, one lay
and one clergy, whose love for Christ and the United Methodist Church are examples for us all. We are
asking for your help in identifying these persons.
There are many local church members and pastors active in the life of the Tennessee Annual
Conference who are worthy of this honor. When considering your nomination, please remember to
consider age, class, race, gender and physical ability as stated in the Conference Plan of Inclusiveness.
Please make your nomination on the form below. You may use both sides if necessary or attach
your own typed nomination to this form.
Send this form to:

Eva M. Gebhart
4343 Lebanon Pike, Apt. T-1610
Hermitage, TN 37036-1254

The deadline is APRIL 30, 2012.

Person Nominated:

Circle one;

Laity

Clergy

Name_________________________________________________________________________
Address_______________________________________________________________________
Church_________________________________________District________________________
Person to contact to get this candidate to Annual Conference for the presentation
Name______________________________
Telephone_(
)___
________
Person making nomination: _________________________________________
Nomination statement: (If the nominee is selected, this will be the statement published in the Journal.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
NOTE: If your nominee is selected, you will be notified so you can submit a photograph for publication.
Remember! Your nomination and the photograph will be published in the Journal as submitted.