2025 Vestry Certificate of Election of Delegates

2025 Vestry Certificate of Election of Delegates to the Annual Convention

Diocese of Western North Carolina
Submission Deadline: October 24, 2025

Each Parish, Chapel or Worshiping Community shall be entitled to two lay delegates, and at least one alternate lay delegate.
Certification
THIS IS TO CERTIFY, that the following communicants in good standing of
Congregation*
were duly elected Lay Delegate(s) and Alternate(s) to represent the same in the next Convention of the Protestant Episcopal Church in the Diocese of Western North Carolina to begin on the 8th day of November, 2025.
Delegates
Delegate #1 Name*

First NameLast Name
Delegate #1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delegate #1 Phone Number*

Area CodePhone Number
Delegate #1 Email*
example@example.com
Delegate #1 Access to Technology*

Delegate #1 has access to an electronic device to access the Convention Application, Whova (either a "smart phone", tablet or laptop) while at convention.
Delegate #2 Name*

First NameLast Name
Delegate #2 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delegate #2 Phone Number*

Area CodePhone Number
Delegate #2 Email*
example@example.com
Delegate #2 Access to Technology*

Delegate #2 has access to an electronic device to access the Convention Application, Whova (either a "smart phone", tablet or laptop) while at convention.
Alternates
Alternate Delegate #1 Name

First NameLast Name
Alternate Delegate #1 Phone Number

Area CodePhone Number
Alternate Delegate #1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Alternate #1 Email
example@example.com
Alternate Delegate #1 Access to Technology

Alternate Delegate #1 has access to an electronic device to access the Convention Application, Whova (either a "smart phone", tablet or laptop) while at convention.
Alternate Delegate #2 Name

First NameLast Name
Alternate Delegate #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Alternate Delegate #2 Phone Number

Area CodePhone Number
Alternate Delegate #2 Email
example@example.com
Alternate Delegate #2 Access to Technology

Alternate Delegate #2 has access to an electronic device to access the Convention Application, Whova (either a "smart phone", tablet or laptop) while at convention.
Endorsement
Rector or Priest-in-Charge*

PrefixFirst NameLast Name
Sr. Warden*

PrefixFirst NameLast Name
By clicking this box, we hereby certify the delegate(s) and alternate delegate(s) were duly elected by the Vestry of this congregation or worshiping community. *

Click here for endorsement
Should be Empty:

2025 Vestry Certificate of Election of Delegates to the Annual Convention

Certification

Delegates

Alternates

Endorsement