PCUSA - NNPCW, Apply to CoCo

National Network of Presbyterian College Women


	Application to NNPCW's Coordinating Committee Please fill out the requested information so we can process your application to the NNCPW coordinating committee (CoCo). Selection is based on, though not limited to, the following criteria: geographic representation; racial-ethnic diversity; size and type of college/university represented. Students from other denominations may apply. Applications will be accepted until August 15. * indicates required information

	About you

	Your name: *

	This information is requested to be used in conjunction with other data to ensure that CoCo reflects NNPCW’s commitment to community that respects diversity.
	Racial/ethnic background: *

	Your college or university

	College/University: *

	Approximate enrollment:

	Class level: * Freshman Sophomore Junior Senior

	Expected date of graduation: *

	Plans after graduation:

	Your permanent address

	Home Street Address: *

	Home City: *

	Home State: *

	Home Postal Code: *

	Home Telephone Number: *

	Home Email Address: *

	Name and location of home church: *

	Home presbytery (if applicable):

	Home synod (if applicable):

	Your school address

	Address:

	City:

	State:

	Postal Code :

	Phone Number:

	School email address:

	School presbytery (if applicable):

	School synod (if applicable):

	Your references
	Please list the names and addresses of two references, at least one of whom knows you in the context of your faith journey (e.g. chaplain, pastor, member of your church, professor, etc.)

	First Reference:
	Name of first reference: *

	Address of first reference:

	City, state and postal code of first reference:

	Phone number of first reference:*

	Email of first reference: *

	Relationship to first reference:

	Second Reference:
	Name of second reference: *

	Address of second reference:

	City, state and postal code of second reference:

	Phone number of second reference: *

	Email of second reference: *

	Relationship to second reference:

	Your essay
	In approximately 500 words please describe your reasons for wanting to be part of the coordinating committee of the National Network of Presbyterian College Women. What gifts (e.g. experiences, perspectives and skills) would you bring to the committee? *


	Are you interested in serving on a General Assembly task force or committee?
	Yes No



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