<p> Church: </p><p>Year-end Church membership: </p><p>District: North Central Ohio </p><p>Assembly Date: July 11-13,2016 </p><p>Ex Officio Delegates (Members of the district assembly by virtue of office for the new assembly year)</p><p>According to Manual 201, department heads (or their Vice) elected to serve in the new church year represent your church at the District Assembly, not the officers during the past year. o NMI President: NMI Vice President: r Email: Email: o NYI President: NYI Vice President: r Email: Email: o SDMI Supt.: SDMI Vice Supt.: r Email: Email: Additional Delegates If District membership is 5,000 or more, use Chart 1; if District membership is less than 5,000, use Chart 2.</p><p>CHART 1 (Manual 201.2) Members Delegates Members Delegates 0 – 75 1 326 – 375 7 76 – 125 2 376 – 425 8 126 – 175 3 426 – 475 9 176 – 225 4 476 – 525 10 226 – 275 5 526 – 575 11 276 – 325 6 576 – 625 12 CHART 2 (Manual 201.1) Members Delegates Members Delegates 0 – 75 2 326 – 375 8 76 – 125 3 376 – 425 9 126 – 175 4 426 – 475 10 176 – 225 5 476 – 525 11 226 – 275 6 526 – 575 12 276 – 325 7 576 – 625 13</p><p> If your church is eligible for more than 12 or 13 delegates, continue the appropriate chart to reach the total number of delegates allowed for your church membership.  If the church is a Church-Type Mission which has members, the Board of General Superintendents issued a ruling in 1998 that the pastor may name the eligible delegates based on the appropriate chart above. The following lay delegates have been duly elected to represent our church at the District Assembly according to Manual 201.1 or 201.2.</p><p>LAY DELEGATES EMAIL 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 6. 6. 7. 7. 8. 8. 9. 9. 10. 10. 11. 11. 12. 12. Continue – SIGNATURES REQUIRED </p><p>LAY ALTERNATES EMAIL 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 6. 6. 7. 7. 8. 8. 9. 9. 10. 10. 11. 11. 12. 12. </p><p>Signatures: Church Board Secretary Date Pastor Date</p><p>[11/10/2009] Please return this form to the district office.</p><p>THIS FORM MUST BE SIGNED BY BOTH THE PASTOR AND BOARD SECRETARY</p><p>ELECTIONS Lay delegates must be elected at an ANNUAL MEETING of the local church in harmony with MANUAL paragraphs 113.7 – 113.15; persons not elected as a delegate or alternate cannot be certified or seated. 113.14. At the annual church meeting, there shall be an election, by ballot, of lay delegates to the district assembly, or, if approved by a majority vote of the church membership at the annual meeting, delegates may be recommended by the pastor and approved by the local church board on the basis of representation fixed by the General Assembly according to 201-1.2. All those elected as delegates shall be active members of that same local Church of the Nazarene.</p><p>The North Central Ohio District has a membership of 11,000+. Please use Chart 1 to determine the number of lay delegates to elect from your local church. 201.2. Local churches in districts of 5,000 or more full church members shall be entitled to representation in the district assembly as follows: one lay delegate from each local church of 50 or fewer full church members, and one additional lay delegate for each successive 50 full church members and the final major part of 50 full church members. Assigned ministers are members of the assembly and do not have to be elected. 201. Membership. The district assembly shall be composed of all assigned elders; all assigned deacons; all assigned licensed ministers; all retired assigned ministers; the district secretary; the district treasurer; chairpersons of standing district committees reporting to the district assembly; any lay presidents of Nazarene institutions of higher education, whose local church membership is on the district; the District Sunday School and Discipleship Ministries International chairperson; the district age-group ministries international directors (children and adult); the District SDMI Board; the president of the District Nazarene Youth International; the president of the District Nazarene Missions International; the newly elected superintendent or vice superintendent of each local SDMI Board; the newly elected president or vice president of each local NYI; the newly elected president or vice president of each local NMI; or an appropriately elected alternate may represent the NMI, NYI, and SDMI organizations in the district assembly; those serving in assigned roles of ministry according to 402-25.1; the lay members of the District Advisory Board; lay career missionaries whose local church membership is on the district; all retired assigned lay career missionaries whose local church membership is on the district; and the lay delegates from each local church in the assembly district.</p><p>REGISTRATION All delegates must register by Tuesday morning prior to the first business session and receive their nametag and packet. Delegates should sit in the designated area within the voting bar. All delegates are encouraged to attend Monday evening celebration service and stay for the entire day on Tuesday, including the ordination service, and join us on Wednesday morning for special programming.</p><p>SEATING OF ALTERNATES Alternate Delegate Seating forms will be provided at the registration booth. The pastor must sign the alternate delegate seating form. To be seated as an alternate, an individual must have been elected as an alternate at the annual meeting of the local church and must be listed as such on this Certificate of Election form. If an individual is not listed on the Certificate of Election, he/she cannot be seated. </p>