Directory Form

Board Directory Information:

Name*

Prefix First Last Suffix

Mailing Address*

Address Line 1 Address Line 2 City State ZIP / Postal Code

Cell Phone*

Home Phone

(if applicable)

Work Phone

(if applicable)

Email*

Date of Birth (mm/dd/yyyy)*

(Year will NOT be included in directory)

Home Church*

Employer

(if applicable)

Position

(if applicable)

Spouse Name

(if applicable)

First

Hobbies

(Please list a few of your favorite things to do in your personal time)

Life Verse

(Please share your life verse or one of your favorite Bible verses that has made an impact in your life)

Bucket List

(What’s on your bucket list?)

Information ONLY

The following information will not be included in the board directory but as additional information for One More Child staff to maintain and archive for each board member.

Spouse Information (if applicable)

Spouse Employer

Spouse Occupation

Anniversary Date

(mm/dd/yyyy)

Children Name(s)

(if applicable, use plus + to add additional children)

First Name	Last Name

Grandchildren Name(s)

(if applicable, use plus + to add additional children)

First Name	Last Name

One More Child Board Terms

(if you are a current or past One More Child (OMC) board member, please list all terms served on the OMC board)

Are you ordained?

Yes
No

Please share about your church involvement.

Please share about your community involvement, other interests or information.

Photo

If you have a photo of yourself you would like to submit for the directory, please upload here.

Max. file size: 32 MB.

Phone

This field is for validation purposes and should be left unchanged.

Board of Directors

Board Directory Information:

Information ONLY

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