Official Circuit Forum Report

Official Circuit Forum Report

For the 2025 Minnesota South District Convention
Relevant Bylaws: 5.5.2 Circuit Forums; LCMS Bylaws 5.2.2, 5.3.1, 5.3.2 (b) (c), 5.3.3
Circuit number & name*
The Circuit Forum was held on:*

MonthDayYear
Date
The Circuit Forum was held at*
Church Name
Church City
WE HAVE SELECTED THE FOLLOWING PASTOR TO SERVE AS OUR CIRCUIT VISITOR:
Pastor's Name*

First NameLast Name
Pastor's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor's Email*
example@example.com
Pastor's Phone Number*
Please enter a valid phone number.
Pastor of:
Congregation Name
Congregation location
OR (for Emeriti) Member of:
Congregation Name
Congregation Location
Print name of current Circuit Visitor*
Signature of current Circuit Visitor:*

Clear

Record of Selection*

	Name of Nominee	Number of Ballots	Number of Ballots (in case of tie in first vote)
#1
#2
#3
#4

The results of the Circuit Forum need to be reported to the District Secretary no later than January 31, 2025. Please complete this report by January 31, 2025 and notify Rev. Keith Grimm at kgrimm@foclutheran.org .
Should be Empty: