Diocese of Cascadia NOMINATION FORM

Diocese of Cascadia NOMINATION FORM

Diocesan Council and/or Provincial Delegate
Nominee's Name
Nominee's Email
example@example.com
Nominee's Mailing Address
Parish Activities / Positions Held
Diocesan Activities / Positions Held
Occupation
Civic and Business Activities / Positions Held
CERTIFICATE OF CONSENT AND QUALIFICATION
Please note this may all be done via email
I give my permission for my name to be placed in nomination for the following position: (choose one)
Signature of Nominee
Date

MonthDayYear
Date
I hereby witness that the nominee is a Confirmed Communicant in good standing of:
Church
City
Signature of Rector or Priest in Charge
Nominated by
Please submit this form no later than August 24, 2025.

Canons of the Diocese of Cascadia as Amended at Diocesan Synod 2024.
Should be Empty: