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 19-21, 2022. This form must be submitted by March 1, 2022.
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 Secretary
Synod Council Treasurer
Orange County Area (Lay/Any Gender)
San Diego Area (Lay/Male)
San Diego Area (Lay/Female)
Inland Empire Area (Lay/Male)
Inland Empire Area (Lay/Female)
Hawaii Area (Clergy/Male)
At large member (Person of Color or First Language other than English; any gender, clergy or lay)
Mission Funds Committee Member
3 year term
2 year term
Please upload a photo of yourself
Browse Files
Drag and drop files here
Choose a file
This will be published in the Synod Assembly materials.
Cancel
of
What three gifts would you bring to this position?
Submit
Should be Empty: