Congregational Information Form 2024

Clergy

Please provide the name(s) and contact information of clergy serving your congregation
Name

PrefixFirst NameLast Name
Title
Email address
Phone Number

Area CodePhone Number
Home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there another clergy person serving your congregation?

YesNo
Second Clergy Person
Name

PrefixFirst NameLast Name
Title
Email address
Phone Number

Area CodePhone Number
Home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there another clergy person serving your congregation?

YesNo
Third Clergy Person
Name

PrefixFirst NameLast Name
Title
Email address
Phone Number

Area CodePhone Number
Home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there another clergy person serving your congregation?

YesNo
Fourth Clergy Person
Name

PrefixFirst NameLast Name
Title
Email address
Phone Number

Area CodePhone Number
Home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Diocesan Convention Delegates
Please list your elected diocesan convention delegates (LAY PERSONS ONLY) below. Please note:

Delegates will be required to register for convention using a separate registration form.

A link to the registration form will be shared in a future edition of The Mountain diocesan newsletter.
1. Delegate Name

First NameLast Name
Email address
example@example.com
2. Delegate Name

First NameLast Name
Email address
example@example.com
3. Delegate Name

First NameLast Name
Email address
example@example.com
1. Alternate Delegate Name

First NameLast Name
Email address
example@example.com
2. Alternate Delegate Name

First NameLast Name
Email address
example@example.com
3. Alternate Delegate Name

First NameLast Name
Email address
example@example.com
I confirm that the Secretary of the Vestry certifies that the above is a true and accurate report of the Convention delegates duly elected at the Parish’s Annual Meeting; that the delegates so elected are eligible for election under Diocese of Vermont Canon 13.8; and that at least one delegate is a current member of the Vestry.*

YesNo

Paid and Unpaid Staff

Below please list the names and email addresses of paid and unpaid staff. This may include: parish administrator, sexton, choir director, organist, parish communicator (webmaster, newsletter editor), Christian education director, Sunday school teachers or superintendent, stewardship chair, outreach chair, altar guild director, audit committee chair.
Position/Title
Name

First NameLast Name
Email
example@example.com
Position/Title
Name

First NameLast Name
Email
example@example.com
Position/Title
Name

First NameLast Name
Email
example@example.com
Position/Title
Name

First NameLast Name
Email
example@example.com
Position/Title
Name

First NameLast Name
Email
example@example.com
Is there another paid or unpaid staff member serving your congregation?

YesNo
Position/Title
Name

First NameLast Name
Email
example@example.com
Is there another paid or unpaid staff member serving your congregation?

YesNo
Position/Title
Name

First NameLast Name
Email
example@example.com
Is there another paid or unpaid staff member serving your congregation?

YesNo
Position/Title
Name

First NameLast Name
Email
example@example.com
Is there another paid or unpaid staff member serving your congregation?

YesNo
Position/Title
Name

First NameLast Name
Email
example@example.com

Please add anything else about your congregation's leadership you would like the diocesan office to know.
Should be Empty:

2024 Congregational Leadership Form