Clone of Membership Application Form

Nominee Consent Form for the 11th Bishop of Ottawa

Anglican Diocese of Ottawa
Deadline for submissions: January 24, 2026 at 11:59pm to be eligible for participation in public meetings.

Submission Instructions:

Online Submissions Deadline:
The online application form will close one week before the Electoral Synod, on February 20 at 5:00 p.m. Applications submitted after this time will not be accepted online.
After the Online Deadline:
From February 20 at 5:00 p.m. until the Electoral Synod is called to order, applications may still be submitted in physical form only.

Note: Applicants not canonically resident in the Diocese of Ottawa are encouraged to contact our diocesan Supplementary Nominations Committee prior to starting their application. The committee will provide important information on the application process, including procedures for securing a nomination. The Supplementary Nominations Committee can be reached by contacting the Rev. Bob Albert, the committee chair: revbobalbert@gmail.com Please have all inquiries in to the committee by January 9, 2026 at the latest. All correspondence with the committee will remain confidential.

Nominee Information

(Please note: this information will be shared publicly)
Full Legal Name of Nominee*

First NameLast Name
Present Diocese*
Parish or Current Ministry*
Ordained Deacon:
Date*

MonthDayYear
Date
Place
Presiding Bishop
Ordained Priest:
Date*

MonthDayYear
Date
Place
Presiding Bishop
Ordained + Consecrated Bishop (if applicable)
Date

MonthDayYear
Date
By

Please note: the information provided below will not be shared publicly; it will kept in confidence and reviewed by the Synod Secretaries and Chancellor
Date of Birth*

MonthDayYear
Date
Mailing Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
E-mail Address*
example@example.com
Phone Number*
Have you ever committed or been convicted of any criminal offence for which a pardon has not been granted, or been subject to disciplinary action for sexual misconduct?*

YesNo
If yes, please specify:
Are you now or have you ever been the subject of a misconduct investigation where you were not exonerated?*

YesNo
If yes, please specify:
Is there anything in your background (professional, personal, legal, or otherwise),that could reasonably be seen as reflecting negatively on the church or its mission, and that you believe the Anglican Diocese of Ottawa should be aware of before moving forward with your application?*

YesNo
If yes, please specify:
Do you meet the eligibility criteria outlined in Canon 2.09(1) of the Canons of the Anglican Diocese of Ottawa?*

YesNo
Have you reviewed the Diocesan Profile and Essential Attributes of our Next Bishop and Core Leadership Qualities*

YesNo
Have you attached the required supporting documentation?*

YesNo
Supporting Documentation attached

Copy of current Vulnerable Sector Check (conducted within the last 6 months; to be provided by 9 am EST on February 28, 2026 if not available at the time of nomination)Copy of current Credit CheckCopy of Photo ID (Driver’s Licence, Passport or Permanent Residence Permit)Copy of ordination and post-secondary education certificatesLetter from the nominee’s bishop stating they have not been the subject of a misconduct investigation for which they have not been exonerated, and confirming that they are a priest in good standing (Note: letters for nominees canonically resident in the Diocese of Ottawa to be provided by the Administrator)Completed nomination form (Note that the names of nominators will be subject to public viewing)Copy of current CV, with relevant information included under the following headings (Note that this information will be subject to public viewing): Ordinations, Ministry Experience (Parish and Non-Parish, if applicable), Other Work Experience (Non-Ministry), if applicable, Contributions to the Wider Church (e.g., Diocesan, National, International level), Educational Background (and any Publications, if applicable), Other professional, volunteer, or community experiences, Areas of Personal Interest
Copy of current CV, with relevant information included under the following headings: Ordinations, Ministry Experience (Parish and Non-Parish, if applicable), Other Work Experience (Non-Ministry), if applicable, Contributions to the Wider Church (e.g., Diocesan, National, International level), Educational Background (and any Publications, if applicable), Other professional, volunteer, or community experiences, Areas of Personal Interest

[Please note: the CV portion of the supporting documentation and the name of the nominators will be shared publicly on the Diocesan website, but all other supporting documentation will be kept in confidence with the Synod Secretaries]
Cancelof
Declaration of Signature
Nomination Form

Cancelof
Copy of current Vulnerable Sector Check (conducted within the last 6 months; to be provided by 9 am EST on February 28, 2026, if not available at the time of nomination)

Cancelof
Copy of current Credit Check

Cancelof
Copy of Photo ID (Driver’s License, Passport or Permanent Residence Permit)

Cancelof
Copy of ordination and post-secondary education certificates

Cancelof
Letter from the nominee’s bishop stating they have not been the subject of a misconduct investigation for which they have not been exonerated and confirming that they are a priest in good standing (Note: letters for nominees canonically resident in the Diocese of Ottawa to be provided by the Administrator)

Cancelof
Completed nomination form (Note that the names of nominators will be subject to public viewing)

Cancelof
Have you consented to this nomination?*

YesNo
By signing below, I confirm that the information provided in this application is accurate and complete to the best of my knowledge.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Signature*

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Nominee Consent Form for the 11th Bishop of Ottawa

Nominee Information