2026 Convention Nomination Form

Elected Office Nomination Form: 2026 Diocesan Convention
The deadline for nominations for leadership positions to be elected during the 2026 Diocesan Convention is October 23. Nominations should be submitted using this online form.

Please email Sophie Kitch-Peck, skitchpeck@diovermont.org, with questions.
Nominee's Full Name

PrefixFirst NameLast Name
Email
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Congregation/ Town
Please select the position for which you are nominating yourself
If other, please list congregation and town
Place of employment (if applicable)
Please include a photo of yourself

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Please list any any current parochial and/or diocesan positions:
Please list any previous parochial and/or diocesan positions (include approximate dates)
Qualifications to serve in this position:
Views on any issues that may be relevant to this position:
Other interests and concerns:
I understand that a portion of this information may appear in the diocesan newsletter:
I understand that by completing this form that I am willing to be elected and to serve:
Should be Empty:

Elected Office Nomination Form: 2026 Diocesan Convention