Local Church Validation – Northern California Nevada Conference

Validation of Local Church Membership for Conference Leadership

You have been requested to validate the membership of an individual in your local church. Your attestation here certifies their membership in your local church for Conference leadership purposes.

Name of Conference Leader*

First Last

Your Name*

First Last

Your Role*

Pastor
Moderator/President

Your Email Address*

Name of Local Church*

Attestation*

The above-named individual is an active member of the identified Local Church, duly received into membership according to the bylaws and customs of our congregation. I have sufficient knowledge and authority to confirm the entry of the above-named member on the membership roll of the congregation as of the time and date I submit this form.

I affirm

I have no reason to presume that the above-named individual is not well-suited to any Conference leadership position for which they are applying or currently hold.*

True
False

Explain your "False" answer above.*

Signature