BNS & FSLDW Jubilarian Submission Form -

If you have any difficulty filling out the Bermuda-Nova Scotia (BNS)/Fundy St. Lawrence Dawning Waters (FSLDW) Regional Council Jubilarian form please do not hesitate to contact Shari Kaster, at the Regional Office, 506-306-0496, he will be happy to help you.

Name(Required)

First Last

Home Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Region(Required)

Let us know which Region you are from.

Fundy St. Lawrence Dawning Waters Regional Council

Bermuda-Nova Scotia Regional Council

Year of Ordination/Commissioning/Recognition/Admission(Required)

Please note the field below will add a comma to your year which we will remove on our end.

Degree(s)(Required)

Let us know your degree(s), in order as they will appear on your certificate.

Biography(Required)

We are asking you to write a brief biography (2-4 paragraphs) from your time in ministry.

Photo Upload

Please upload three to five photos you would like us to use to celebrate your ministry. These can be pictures from special events or perhaps some that represent significant milestones for you. If you are unable to upload your photos you can mail them to the Regional office where they will scan the photos and return them to you.

Drop files here or

Max. file size: 64 MB.

BNS & FSLDW Jubilarian Submission Form

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