Central South District At-Large Delegate Application for 2023
By submitting this application you agree that if selected you will attend ALL Annual Conference sessions and the Pre-Conference Briefing. Selections will be made based on the diversity of the District. You will be contacted on your status in January.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church
How many years have you been a member of your church?
Age Group
Young Adult (18-35)
Adult (36-64)
Older Adult (65+)
Have you served as an At-Large Delegate in the past?
Yes
No
If you have served at an At-Large Delegate in the past, how many years have you served?
Current Committees or Ministries in which you are actively engaged in your church
Current Committees or Ministries in which you are actively engaged in the District or Annual Conference
Please share why you would like to serve at Annual Conference.
Submit
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