143rd Annual Convention Election Nomination Form

Nominator's First and Last Name*

Nominator's Preferred Email*

Nominator's Preferred Phone*

Are you nominating yourself for an election?*

Yes
No

Clergy or Laity*

Clergy
Laity

Nomination is for:*

Officer of Convention
Standing Committee
Executive Council
Disciplinary Board
Trustee - University of the South
Executive Council Deanery Representatives

Parish Name and City*

Parish Positions Held*

Diocesan Positions Held*

National Positions Held*

Please tell us why you feel the nominee would bring their gifts and calling to this ministry?*

Please upload an image of the nominee

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Almost done. Where should we send the confirmation?

Email*

Name*

Mobile Phone Number*

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