TITHING NOMINATION FORM FOR SUMMER 2023

CATEGORY: Licensed Practitioner

THEME: Spirit In Action

Please fill out the form below for the person you recommend as a recipient of the Science of Mind Foundation tithing cycle for Summer 2023.

The deadline for receiving nominations is August 1, 2023

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NOMINEE'S INFORMATION

Please provide contact information for the person you are nominating.

Nominee Name

First

Last

Nominee Phone

Nominee Email

Confirm Email

Address - At minimum, what city /state and country does the nominee reside?

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

YOUR INFORMATION

Name

First

Last

Phone

Confirm Email

NOMINATION NARRATIVE - SPIRIT IN ACTION

Please describe how this person has lived and practiced Spirit in Action. Please be as concise as you can. Your nomination narrative should be limited to one page.

SUBMISSION DATE:

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