Name
Date of Birth
Spouse
Date of Birth
Date of Anniversary
Mailing Address
Home Phone
Work Phone
Cell Phone
Fax
I have read the information in this packet and I am in agreement with its content. As a member of the board, I will endeavor to use my God-given abilities to advance the vision of Go To Nations.
It is my desire to serve as a member of the board of directors of Go To Nations for a minimum of three years with the commitment to attend all regularly scheduled board meetings. I will, to the best of my ability, fulfill the duties and responsibilities of a board member.
Signature of nominee
Date