Synod of the Sun Leader Demographic Survey

Demographic Survey for Leaders serving the Synod of the Sun
The Synod's Committee on Representation is required to report annually the following information regarding those that serve on synod committees. Completing this form would help our efforts greatly.
Full Name

First NameLast Name
Congregation you serve:
Gender:*

MaleFemaleN/AOther
Synod Committee(s) where you currently serve:*
How do you identify yourself racially? Ethnically?*

AsianBlack (African American)AfricanHispanic (Latino/a)Native AmericanMiddle EasternWhiteMultiracialOther
Which age range includes you?*

under 2526-3536-4546-5556-64over 65
Do you live with a disability?*

NoYes. I have a disability that does not require accommodation.Yes, I have a disability that requires accommodation.
Which language(s) do you speak?*
Ordination and/or Membership:*

Teaching elder, Minster of the Word and SacramentRuling ElderDeaconnon-ordained, PCUSA memberordained in another denominationOther
Should be Empty:

Demographic Survey for Leaders serving the Synod of the Sun