Name of Seedling / Potential Synod Network
*
Contact Person / Convener Name
*
First Name
Last Name
Presbytery
*
Please Select
Central Florida
Charleston-Atlantic
Cherokee
Flint River
Florida
Foothills
Greater Atlanta
New Harmony
Northeast GA
Peace River
Providence
Savannah
St. Augustine
Tampa Bay
Trinity
Tropical Florida
Other/None
Phone Number
*
Email
*
Other People Involved in Seedling
(At least 2 Presbyteries must be involved)
Person 2
*
First Name
Last Name
Presbytery
*
Please Select
Central Florida
Charleston-Atlantic
Cherokee
Flint River
Florida
Foothills
Greater Atlanta
New Harmony
Northeast GA
Peace River
Providence
Savannah
St. Augustine
Tampa Bay
Trinity
Tropical Florida
Other/None
Phone Number
*
Email
*
Person 3
First Name
Last Name
Presbytery
Please Select
Central Florida
Charleston-Atlantic
Cherokee
Flint River
Florida
Foothills
Greater Atlanta
New Harmony
Northeast GA
Peace River
Providence
Savannah
St. Augustine
Tampa Bay
Trinity
Tropical Florida
Other/None
Phone Number
Email
Person 4
First Name
Last Name
Presbytery
Please Select
Central Florida
Charleston-Atlantic
Cherokee
Flint River
Florida
Foothills
Greater Atlanta
New Harmony
Northeast GA
Peace River
Providence
Savannah
St. Augustine
Tampa Bay
Trinity
Tropical Florida
Other/None
Phone Number
Email
Person 5
First Name
Last Name
Presbytery
Please Select
Central Florida
Charleston-Atlantic
Cherokee
Flint River
Florida
Foothills
Greater Atlanta
New Harmony
Northeast GA
Peace River
Providence
Savannah
St. Augustine
Tampa Bay
Trinity
Tropical Florida
Other/None
Phone Number
Email
Representative to the Cultivate Committee / Synod Assembly
Representative Name
*
First Name
Last Name
Presbytery
*
Please Select
Central Florida
Charleston-Atlantic
Cherokee
Flint River
Florida
Foothills
Greater Atlanta
New Harmony
Northeast GA
Peace River
Providence
Savannah
St. Augustine
Tampa Bay
Trinity
Tropical Florida
Other/None
Phone Number
*
Email
*
Vision, Goals, and Plans
Potential Network's Vision and Goals
*
Meeting Plans (Date/Timeframe, Established or Anticipated?, In person or Zoom?)
*
Seed Money Request
*
A request does not guarantee this amount will be made available
Attach Line-Item Budget and Any Other Information You Would Like to Provide
*
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Signature
*
Date
*
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Year
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Application for Synod of South Atlantic Seedings must be submitted electronically.
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