I authorize any references, supervisors, ELCA agencies, congregations, or any other person or organization to give any information, including opinions, regarding my character and fitness for ministry to the SAM Leadership Team of the North Carolina Synod, ELCA. I also release any individual, employer, church, reference, or any other person or organization providing information from any and all liability for damage of whatever kind of nature that may exist at any time on account of compliance or any attempts to comply with this authorization, excepting only the communication of knowingly false information.
An email attachment of this signed form, a facsimile or photocopy of this authorization shall be as valid as the original.