Nomination Form: Part Two

Nomination Form, Part Two (Nominee)
Thank you for yor willingness to serve if elected. If your nominator has not yet filled out their half of the form (Part One), please ask them to do so as soon as possible. That form may be found here. Please contact Haley Dettra at 214-826-8312 or hdettra@edod.org if you have any questions.

* indicates a required field.
Tell us about the person who is nominating you...

The nominator will be copied when this form is submitted.
Nominator Name

First NameLast Name
Nominator E-mail
Tell us about yourself...
Your Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Email Address
What parish/mission do you attend?
Member of this congregation since (year):
How long have you been an Episcopalian?
If elected, is this the contact information you would like printed in the diocesan directory?
Statements for the Nominee's Profile

These statements may be included with the candidate profiles in the published Convention Booklet. They may be truncated if they exceed the word limits specified below.
Please list any relevant skills or occupational roles (30 words or fewer).

0/30
Please list any past or present positions of Christian service and leadership in your community, parish, diocese, province, or nationally - and give approximate dates in parentheses (40 words or fewer).

0/40
What area of our diocesan life motivates you, and why do you want to serve in this specific ministry? (40 words or fewer)

0/40
Describe your spiritual life. How has Jesus Christ transformed your life? (40 words or fewer)

0/40
Provide a Photo for the Candidate Profile

Photos may be emailed directly to hdettra@edod.org or uploaded below.
Upload Your Photo

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Nomination Form, Part Two (Nominee)

Tell us about the person who is nominating you...

Tell us about yourself...

Statements for the Nominee's Profile

Provide a Photo for the Candidate Profile