ELCIC PRE-IDENTIFICATION FORM

ELCIC PRE-IDENTIFICATION FORM

for the Election of a Bishop
Name of individual identified as potential candidate*
This form must be endorsed by eight (8) ELCIC members: four (4) lay and four (4) rostered members serving under call or appointment, representing more than one (1) synod, with no more than two (2) endorsements from any congregation or synodically recognized ministry.

An individual may endorse only one (1) potential candidate. (Note: The individual submitting the form may also endorse the potential candidate.)

Consent of the potential candidate is required.

If you require further information, please contact Linda Grainger at discernment@elcic.ca.

Names of lay members endorsing the potential candidate:

	Full Name	Email	Home Congregation	Synod
Lay Member 1
Lay Member 2
Lay Member 3
Lay Member 4

Names of rostered members (serving under call or appointment) endorsing the potential candidate:

	Full Name	Email	Home Congregation	Synod
Rostered Member 1
Rostered Member 2
Rostered Member 3
Rostered Member 4

I have the consent of the individual identified as a potential candidate to submit this form*

YES
I have the consent of each individual endorsing this potential candidate to submit this form*

YES
Submitted by:*

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Should be Empty: