Nomination Form

Please fill out this form to apply for a diocesan position:

Nomination Form

Qualifications (please check all that apply)

Baptized in a Christian denomination

Registered and active member in a diocesan congregation for a minimum of two years

Must be at least 18 years old. This qualification may be waived for committees with desired or required youth members

Must be able to provide a reference check from clergy member.

Nominee is *

Full Name & Title *

Position Sought *

Congregation *

Address *

City *

State *

Zip Code *

Phone number *

Email Address *

Present Incumbent *

Clergy Nominee's Endorsement

Warden/Vestry or Convention Delegate (if nominee is not clergy in charge, the clergy in charge that the nominee works for can sign)

Lay Nominee's Rector/Vicar Endorsement

Nominee’s Statement in Favor of Their Candidacy *

Write a statement of no more than 100 words stating the nominee’s Vision, Qualifications, and Experience

Please share a brief bio of the nominee *

Please upload a photo of the nominee *

Signature of Nominee *

Nominated by: *

Name of Clergy in Charge *

Email of Clergy in Charge *

reCAPTCHA