Nomination Form
Any congregational member in good standing may self-nominate or be nominated to open positions by completing this online nomination form. Elections to fill these positions will take place at the Pacifica Synod Assembly on May 1, 2021. This form must be submitted by February 19, 2021.
Have you been nominated by another person, are you self-nominating, or are you nominating another person?
I've been nominated by another person or self-nominating
I am nominating another person
I am nominating
First Name
Last Name
Nominee Email
example@example.com
Nominee phone number
Please enter a valid phone number.
Nominee Congregational Membership
Please include city and state
Nominee Address (if known)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I notified this person that I am making this nomination
Yes
No
My name
First Name
Last Name
My Email
example@example.com
My Phone Number
Please enter a valid phone number.
My congregational membership
Please include city and state
My Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My occupation and place of employment (if applicable)
Church membership conference
East San Diego
West San Diego
Harvest
Raincross
Big Bear
Saddleback
Son & Surf
Rejoice
Hukilau
I'm not sure
Synod Council Positions
Synod Council Vice President
Synod Council Secretary
Synod Council Treasurer
Orange County Area (male clergy)
Orange County Area (any gender clergy)
Orange County Area (male lay)
Orange County Area (female lay)
San Diego Area (male clergy)
San Diego Area (any gender lay)
San Diego Area (female clergy)
Inland Empire Area (any gender clergy)
Inland Empire Area (female clergy)
Hawaii Area (any gender lay)
At large member (Person of Color or First Language other than English; any gender, clergy or lay)
Synod Council Youth Representative
Discipline Committee Member
Male clergy
Female lay
Male lay
Male lay
ELCA Churchwide Assembly Voting Member (August 8-12, 2022)
Hawaii Area (male lay)
San Diego Area (female lay)
Orange County Area (male clergy)
Inland Empire Area (female lay)
Person of Color of First Language other than English (female clergy)
Youth/Young Adult (male lay)
Please upload a photo of yourself
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This will be published in the Synod Assembly materials.
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What three gifts would you bring to this position?
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