Canadian Association of Lutheran Congregations

Nominating Committee

C/O Pr. Edward P. Skutshek, President

Grace Lutheran Church

1162 Hudson Road

West Kelowna, BC, V1Z 1J3

National Council Nomination Form

I ACCEPT THIS NOMINATION

Having prayed about this nomination for the CALC National Council, I am willing to let my name stand. I
am in full support of the principles, in full agreement with the doctrinal standards and am confident that
in some measure God has gifted me for this office. With God as my help, I will do my utmost to fulfill the
stated duties and responsibilities of this office should I be elected.

Address

I AM UNABLE TO ACCEPT THIS NOMINATION

Having prayed about this nomination for the position of (see above) on the CALC National Council, I
regret that I am not able to let my name stand.

Address