NWPA 2026 Congregation & Convention Delegates Form
Due March 1, 2026
Congregation Information
Congregation Name
Congregation Address (physical location)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different from Congregation Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Congregation Email Address
example@example.com
Congregation Website Address
Social Media URL
Time(s) of Worship
Clergy Information
Please fill in the requested information for the clergyperson in charge of this congregation. If your congregation is currently without clergy, please enter NONE in the name and email section.
Clergy Name
Clergy Email
example@example.com
Office Administrator/Manager
If you do not have an administrator/manager please type NONE in the name section and add the best contact person.
Administrator/Manager/Contact Name
Administrator/Manager/Contact Name's Email
example@example.com
Staff & Vestry/Bishop's Committee Information
Please fill in the requested information for any persons fulfilling any of the roles listed below. If there is no one in your congregation currently in a specific role, please leave that line blank.
Senior Warden/Bishop's Warden
Senior Warden/Bishop's Warden Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Junior Warden/Property Warden
Junior Warden/Property Warden Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Treasurer
Treasurer Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Clerk
Clerk Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vestry/Bishop's Committee Members
Please include the names of all current Vestry/Bishop's Committee members.
Current Vestry/Bishop Committee Members
Diocesan Convention Delegates
Parishes and organized missions in the Diocese are entitled to two delegates to the Diocesan Convention (unless otherwise limited by canon) and two alternates. The following churches are entitled to one additional delegate to the 116th Annual Convention: Cathedral of St. Paul; St. Mark's, Erie; St. John's, Franklin; and St. John's, Sharon.
Delegate 1 Name
Delegate 1 Email
example@example.com
Delegate 2 Name
Delegate 2 Email
example@example.com
Delegate 3 Name (if applicable)
Delegate 3 Email (if applicable)
example@example.com
Alternate 1 Name
Alternate 1 Email
example@example.com
Alternate 2 Name
Alternate 2 Email
example@example.com
Alternate 3 Name (if applicable)
Alternate 3 Email (if applicable)
example@example.com
Certifications
I hereby certify that these individuals have been chosen as Lay Members/Delegates or Alternates and are duly qualified as the Canons direct.
Yes
I hereby certify that the Diocese's Policies regarding Safe Church training for all staff and volunteers are being followed.
Yes
Name of Person completing/certifying this form.
Email of Person completing/certifying this form.
example@example.com
Submit
Should be Empty: