Honorary Doctorate Degree Nomination FormBethel Christian University, P. O. Box 4086, Topeka KS 66604, USA. Tel: +1785-414-8600 E-Mail: info@bcuks.orgPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Honorary Doctorate Degree Nomination Form This Honorary Doctorate Degree Nomination Form is provided by Bethel Christian University for the purpose of identifying and evaluating individuals whose Christian leadership, service, and contributions have demonstrated exemplary impact in ministry, education, missions, or service to the Church and society. Honorary degrees are conferred at the discretion of the University as a formal recognition of distinguished service and faith‑based leadership. The nominator is responsible for completing and submitting this form in its entirety and for ensuring that the information provided is correct and complete. Supporting documentation should be included as required to assist in the evaluation process. The nominee is not required to complete this form; however, nominees may be asked to cooperate by providing biographical information or supporting materials if requested. Submission of this nomination constitutes a request for consideration only and does not imply or guarantee approval or conferral of an honorary degree. Nominator’s General Information Nominator’s Full Name *FirstLastNominator Mailing Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCity State ZIP Code *Phone Number *Email Address *EmailConfirm EmailRelationship to Nominee *Nominee’s General Information Nominee’s Information - Full Name * Date Custom Number Current Title / Position *Name of Organization / Church / Institution *Official Contact Address of Organization / Church / Institution *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOfficial Website (Organization / Church / Institution) *Nominee Mailing Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCountry / Region of Primary Service *Years in Ministry or Professional Service *Nominee Biography (2-3 pages recommended; attachments accepted) *Academic, Professional or Ministerial Achievements *Leadership, Community Service or Social Impact *Christian Character, Values and Spiritual Influence *Upload Supporting Documentation Checklist-1 * Drag & Drop Files, Choose Files to Upload Upload Supporting Documentation Checklist-2 * Drag & Drop Files, Choose Files to Upload Nominator's Declaration and Signature * Clear Signature Digital Signature Full Name *Date *GDPR Agreement *I consent to having this website store my submitted information so they can respond to my inquiry.Custom Captcha * = Submit Nomination